Individual
DR. JOHN ALEXANDER BUXTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.11/07/1929
Contact information
Practice address
5035 CHARLOTTE AVE, EVANSVILLE, IN 47720-1466
(812) 474-1122
(812) 477-3669
Mailing address
301 N ROYAL AVE, SUITE B, EVANSVILLE, IN 47715-2866
(812) 474-1122
(812) 477-3842
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20130054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241910A
—
IN
01
—
I016328
CHAMPUS
IN
Enumeration date
02/01/2006
Last updated
10/03/2019
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