Catherine Beryl Buckley

NPI #1063718112 in Providence, Rhode Island

Provider Information

NPI Number: 1063718112
Entity Type: Individual
Name: Catherine Beryl Buckley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 8, 2011
Last Updated: Nov 27, 2018

Practice Location

Address: 593 EDDY ST
City: Providence
State: Rhode Island
ZIP Code: 02903
Phone: (401) 273-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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