Individual
STEPHEN CHARLES BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
120 CURTIS ST, MEDFORD, MA 02155-5819
(617) 627-3360
Mailing address
49 CARROLL ST, WATERTOWN, MA 02472-3330
(917) 414-1613
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10037
MA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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