Buck, Gary L
Buck, Gary L is an sole proprietor health care provider with primary practice located at 1480 Lincoln Ave Ste 6 , San Rafael CA 94901. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Buck, Gary L can be contacted via phone (415) 456-7724.Contact Information
Primary practice address
1480 Lincoln Ave Ste 6
San Rafael CA 94901
Phone: (415) 456-7724
Fax: (415) 456-1050
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY27298 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY27298 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY27298 | California |
Profile Details
NPI number | 1841313418 |
---|---|
LBN Legal business name | Buck, Gary L |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 9th, 2007 |
Last updated | Jun 26th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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