Individual
DR. ROSE L BUCKNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
1159 E WALNUT ST, SPRINGFIELD, MO 65806-2616
(417) 864-6500
(417) 864-6519
Mailing address
1159 E WALNUT ST, SPRINGFIELD, MO 65806-2616
(417) 864-6500
(417) 864-6519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00222
MO
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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