Buckley, Paul Allen

Buckley, Paul Allen is an sole proprietor health care provider with primary practice located at 7515 Wayzata Blvd Ste 209 , St Louis Park MN 55426-1635. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Buckley, Paul Allen can be contacted via phone (612) 867-2565.

Contact Information

Primary practice address
7515 Wayzata Blvd Ste 209 St Louis Park MN 55426-1635
Phone: (612) 867-2565
Fax: (952) 928-2325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1001 Minnesota

Profile Details

NPI number 1659458628
LBN Legal business name Buckley, Paul Allen
Credentials PAUL BUCKLEY, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - 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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