Organization
BLUE HERON PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGHAN H BUCKLEY PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(410) 934-7826
Entity
Organization
Contact information
Practice address
774 FAIRVIEW AVE, APT C, ANNAPOLIS, MD 21403-2956
(410) 934-7826
(410) 934-7826
Mailing address
774 FAIRVIEW AVE, APT C, ANNAPOLIS, MD 21403-2956
(410) 934-7826
(410) 934-7826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04511
MD
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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