Individual
ANGELA L H BUFFINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001
(507) 594-6500
Mailing address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001-6460
(507) 594-6500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP4662
MN
103T00000X
Psychologist
LP4662
MN
103TC0700X
Clinical Psychologist
LP4662
MN
Other
Enumeration date
02/28/2006
Last updated
03/28/2019
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