Individual
DR. PAMELA RENA' BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
408 W MAIN ST, SENATOBIA, MS 38668-2153
(901) 827-7303
Mailing address
1854 COUNTRY CLUB RD, SENATOBIA, MS 38668-6378
(662) 560-9443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36-608
MS
103TC0700X
Clinical Psychologist
P0000002293
TN
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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