Individual
CAROL ELIZABETH WRIGHT-BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D., HSPP
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 988-2884
Mailing address
639 TANNINGER DR, INDIANAPOLIS, IN 46239-9157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040283
IN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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