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Organization
STEVEN F BUCKY PHD APC
Active
Organization
STEVEN F BUCKY PHD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN F BUCKY (PSYCHOLOGIST)
(619) 464-1196
Entity
Organization
Contact information
Practice address
10455 POMERADO RD BLDG M-15, SAN DIEGO, CA 92131-1717
(619) 464-1196
Mailing address
9974 SCRIPPS RANCH BLVD # 24, SAN DIEGO, CA 92131-1825
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY3939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL39390
—
CA
Enumeration date
02/11/2008
Last updated
02/15/2008
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