Buckley, Gwen Eleanor
Buckley, Gwen Eleanor is an individual health care provider with primary practice located at 1190 Troy Schenectady Rd , Latham NY 12110-1014. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Buckley, Gwen Eleanor can be contacted via phone (518) 640-3410.Contact Information
Primary practice address
1190 Troy Schenectady Rd
Latham NY 12110-1014
Phone: (518) 640-3410
Fax: (518) 640-3402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | R036361-1 | New York |
Profile Details
| NPI number | 1356624621 |
|---|---|
| LBN Legal business name | Buckley, Gwen Eleanor |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2011 |
| Last updated | Sep 23rd, 2011 - about 13 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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