Organization
CHARLIE BUCKLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE BUCKLEY CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(970) 667-4883
Entity
Organization
Contact information
Practice address
3588 E STATE HIGHWAY 60, LOVELAND, CO 80537-8255
(970) 667-4883
Mailing address
3588 E STATE HIGHWAY 60, LOVELAND, CO 80537-8255
(970) 667-4883
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
01085069
CO
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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