Individual
CATHERINE ROSE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5000
Mailing address
3400 HAHN DR APT B, MODESTO, CA 95356-0697
(209) 602-3830
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37377
CA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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