Individual
DR. RICHARD DWIGHT BUCKHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1191 NW TAHOE LANE, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Mailing address
1191 NW TAHOE LANE, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1000
WA
Other
Enumeration date
04/20/2006
Last updated
09/26/2012
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