Individual
BRIANNA BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6901 W SHEILA LN, PHOENIX, AZ 85033-4452
(602) 710-6520
Mailing address
6901 W SHEILA LN, PHOENIX, AZ 85033-4452
(602) 710-6520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/13/2019
Last updated
06/13/2019
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