Individual
DR. DAVID MARSH BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
8202 CLEARVISTA PKWY, SUITE 6A, INDIANAPOLIS, IN 46256-1400
(317) 288-9942
(317) 288-9945
Mailing address
8202 CLEARVISTA PKWY, SUITE 6A, INDIANAPOLIS, IN 46256-1400
(317) 288-9942
(317) 288-9945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040172A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015010
—
IN
Enumeration date
07/20/2005
Last updated
08/09/2013
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