Individual
ELIZABETH BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 BERKELEY PARK BLVD, STE 3, KENSINGTON, CA 94707
(415) 206-5290
Mailing address
200 24TH ST, RICHMOND, CA 94804-1804
(510) 412-9200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19584
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY19584
CA
Other
Enumeration date
08/25/2006
Last updated
05/19/2018
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