Buckley, Susan Douglas

Buckley, Susan Douglas is an sole proprietor health care provider with primary practice located at 209 Cooper Ave , Montclair NJ 07043-1883. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Buckley, Susan Douglas can be contacted via phone (973) 744-0662.

Contact Information

Primary practice address
209 Cooper Ave Montclair NJ 07043-1883
Phone: (973) 744-0662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35S100328700 New Jersey

Profile Details

NPI number 1831213586
LBN Legal business name Buckley, Susan Douglas
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - 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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