NPI 1487632634 · live from the CMS NPI Registry
Maria L Buckley, PhD
Psychologist, Clinical in Providence, RI. National Provider Identifier 1487632634, active.
NPI record
| NPI | 1487632634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1 Hoppin St, Coro Center, 3rd Floor, Providence, RI 02903 |
| Practice phone | 401-793-8770 |
| Mailing address | Po Box 3238, Boston, MA 02241 |
| Enumerated | January 7, 2006 |
| Last updated | May 22, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PS00761 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.