Buckley, Maria L

Buckley, Maria L is an individual health care provider with primary practice located at 1 Hoppin St Coro Center, 3Rd Floor, Providence RI 02903-4141. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buckley, Maria L can be contacted via phone (401) 793-8770.

Contact Information

Primary practice address
1 Hoppin St Coro Center, 3Rd Floor Providence RI 02903-4141
Phone: (401) 793-8770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00761 Rhode Island

Profile Details

NPI number 1487632634
LBN Legal business name Buckley, Maria L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2006
Last updated May 22nd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487632634 NPPES
Rhode Island Other 26355-1 BCBS RI
Rhode Island Other 409415 BCBS RI

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