Organization
MICHAEL J BUXTON & ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY BUXTON ED.D. (LICENSED CLINICAL PSYCHOLOGIST)
(757) 490-2666
Entity
Organization
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 309, VIRGINIA BEACH, VA 23455-5500
(757) 490-2666
(757) 552-0089
Mailing address
PO BOX 68123, VIRGINIA BEACH, VA 23471-8123
(757) 490-2666
(757) 552-0089
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
VA
347C00000X
Private Vehicle
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007758626
—
VA
01
—
031204
CHAMPUS
—
01
—
092778
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/30/2006
Last updated
07/21/2022
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