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Individual

BRANDI BUCHANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
777 JUSTIN RD, ROCKWALL, TX 75087-4840
(214) 620-5580
(469) 264-5037
Mailing address
777 JUSTIN RD, ROCKWALL, TX 75087-4840
(214) 620-5580
(469) 264-5037

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
Primary
37022
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375102601
TX
Enumeration date
01/29/2015
Last updated
04/23/2024
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