Individual
MRS. ASHLEY BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 BISHOP ST, WATERTOWN, NY 13601-4604
(315) 786-0677
Mailing address
126 BISHOP ST, WATERTOWN, NY 13601-4604
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1888518
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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