Individual
TREVOR BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6342 WILD FLOWER WAY, SAN ANTONIO, TX 78244-1004
(801) 792-7751
(801) 792-7751
Mailing address
6342 WILD FLOWER WAY, SAN ANTONIO, TX 78244-1004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1740
AL
Other
Enumeration date
09/28/2011
Last updated
10/15/2012
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