Buckley, Whitney
Buckley, Whitney is an sole proprietor health care provider with primary practice located at 2505 Black Rock Tpke Ste 2 , Fairfield CT 06825-2408. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Buckley, Whitney can be contacted via phone (203) 521-4608.Contact Information
Primary practice address
2505 Black Rock Tpke Ste 2
Fairfield CT 06825-2408
Phone: (203) 521-4608
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 003180 | Connecticut |
Profile Details
| NPI number | 1073127270 |
|---|---|
| LBN Legal business name | Buckley, Whitney |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2020 |
| Last updated | Sep 4th, 2020 - about 4 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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