Individual
DR. CATHERINE ELIZABETH BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD HSPP
Contact information
Practice address
7250 CLEARVISTA DRIVE, SUITE 227, INDIANAPOLIS, IN 46256-5600
(317) 621-7804
(317) 621-7275
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200324030
—
IN
01
—
P01191790
RR MEDICARE PTAN
IN
01
—
P01678706
RR MEDICARE
IN
Enumeration date
09/21/2005
Last updated
11/27/2023
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