Individual
DR. ROSE JACKSON BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HSPP
Contact information
Practice address
3921 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46208-4064
(812) 332-1262
Mailing address
5134 MCHENRY LN, INDIANAPOLIS, IN 46228-2368
(812) 322-5620
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043544B
IN
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/19/2008
Last updated
10/20/2022
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