Individual
SHELBY BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX 498, JACKSON, LA 70748-0498
(225) 634-0100
Mailing address
1440 CANAL ST # 8448, NEW ORLEANS, LA 70112-2703
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
332505
LA
2084P0800X
Psychiatry Physician
332505
LA
Other
Enumeration date
03/25/2020
Last updated
06/30/2025
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