Individual
CHRISTA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
43335 K BEACH RD, SUITE 32-A, SOLDOTNA, AK 99669-8260
(907) 262-5456
(907) 262-5475
Mailing address
805 SAND DOLLAR DR # 9, KENAI, AK 99611-8818
(907) 283-2699
(907) 283-2699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
221
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143MA
BLUE CROSS BLUE SHIELD #
NC
05
—
7412652
—
NC
Enumeration date
12/14/2006
Last updated
10/08/2008
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