Buddington Psychology Clinic, Pc

LBN: Buddington Psychology Clinic, Pc
Buddington Psychology Clinic, Pc is an health care organization with primary practice located at 4485 Tench Rd Suite 840, Suwanee GA 30024-6741. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Buddington Psychology Clinic, Pc can be contacted via phone (770) 493-9177, or through Buddington, Roger W. via phone (770) 493-9177.

Contact Information

Primary practice address
4485 Tench Rd Suite 840 Suwanee GA 30024-6741
Phone: (770) 493-9177
Fax: (770) 945-7214
Website:
Map and Directions
Authorized official contact:
Name: Buddington, Roger W. PH.D.
Phone: (770) 493-9177

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY001926 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003357 Georgia

Profile Details

NPI number 1366626970
LBN Legal business name Buddington Psychology Clinic, Pc
DBA Doing business as
Authorized official Buddington, Roger W. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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