Individual
THERESA ANN BUCKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
94-144 FARRINGTON HWY, WAIPAHU, HI 96797-1901
(808) 678-3637
Mailing address
45-324 MEALELE ST, KANEOHE, HI 96744-2213
(808) 783-9800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
923
HI
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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