Buckley, Geoffrey A

Buckley, Geoffrey A is an sole proprietor health care provider with primary practice located at 393 Rudolph Dr , Newbury Park CA 91320-4631. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Buckley, Geoffrey A can be contacted via phone (805) 405-0641.

Contact Information

Primary practice address
393 Rudolph Dr Newbury Park CA 91320-4631
Phone: (805) 405-0641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MC20781 California

Profile Details

NPI number 1922273051
LBN Legal business name Buckley, Geoffrey A
Credentials M.S., M.DIV., PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 17 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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