Organization
JESSICA BUCKLAND
Active
Organization
JESSICA BUCKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA BUCKLAND PSY. D. (OWNER, CLINICAL PSYCHOLOGIST)
(814) 206-6588
Entity
Organization
Contact information
Practice address
1315 S ALLEN ST, SUITE 303, STATE COLLEGE, PA 16801-5923
(814) 689-9650
Mailing address
118 HAVERFORD CIR, STATE COLLEGE, PA 16803-1177
(814) 206-6588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017577
PA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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