Buckley, Rose Jackson

Buckley, Rose Jackson is an individual health care provider with primary practice located at 3921 N Meridian St Ste 200 , Indianapolis IN 46208-4064. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Buckley, Rose Jackson can be contacted via phone (812) 332-1262.

Contact Information

Primary practice address
3921 N Meridian St Ste 200 Indianapolis IN 46208-4064
Phone: (812) 332-1262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20043544B Indiana

Profile Details

NPI number 1609023902
LBN Legal business name Buckley, Rose Jackson
Credentials HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Oct 20th, 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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