Organization
STRESS & TRAUMA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MATT BUCKMAN PH D (EXECUTIVE DIRECTOR)
(270) 997-1065
Entity
Organization
Contact information
Practice address
1200 LOCUST ST, ELDORADO, IL 62930-1723
(270) 997-1065
(618) 216-9993
Mailing address
1200 LOCUST ST, ELDORADO, IL 62930-1723
(270) 997-1065
(618) 216-9993
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
05/18/2021
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