Mark Buckley

NPI #1053710020 in Painesville, Ohio

Provider Information

NPI Number: 1053710020
Entity Type: Individual
Name: Mark Buckley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Aug 15, 2014
Last Updated: Aug 15, 2014

Practice Location

Address: 585 RIVERSIDE DR
City: Painesville
State: Ohio
ZIP Code: 44077-5323
Phone: (440) 358-8334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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