Individual
GEOFFREY EDWARDS BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9245 N MERIDIAN ST # 111, INDIANAPOLIS, IN 46260-1836
(317) 258-6711
Mailing address
11249 SHOREVIEW CIR, INDIANAPOLIS, IN 46236-8626
(317) 258-6711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040395
IN
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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