Organization
BUCKINGHAM AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARSH BUCKINGHAM PHD (OWNER)
(317) 288-9942
Entity
Organization
Contact information
Practice address
8202 CLEARVISTA PKWY, SUITE 6A, INDIANAPOLIS, IN 46256-1400
(317) 288-9942
(317) 288-9945
Mailing address
8202 CLEARVISTA PKWY STE 7, INDIANAPOLIS, IN 46256-1400
(317) 288-9942
(317) 288-9945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
57000069A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200121170
—
IN
Enumeration date
05/17/2006
Last updated
04/24/2024
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