Organization
DAVID BUCKLEY PMHNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BUCKLEY (OWNER)
(617) 302-7102
Entity
Organization
Contact information
Practice address
607 BOYLSTON ST STE 191L, BOSTON, MA 02116-3604
(617) 302-7102
Mailing address
607 BOYLSTON ST STE 191L, BOSTON, MA 02116-3604
(617) 302-7102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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