Buckingham, Dwayne Lamont

Buckingham, Dwayne Lamont is an sole proprietor health care provider with primary practice located at 9524 Baltimore Ave , Laurel MD 20723-1816. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Buckingham, Dwayne Lamont can be contacted via phone (210) 382-2672.

Contact Information

Primary practice address
9524 Baltimore Ave Laurel MD 20723-1816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2006029483 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801076311 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22698 Maryland

Profile Details

NPI number 1578555397
LBN Legal business name Buckingham, Dwayne Lamont
Credentials M.S.W, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Jul 21st, 2022 - about 3 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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