Tyler Buckhout, Licsw, LLC
NPI #1760253058 in East Boston, Massachusetts
Provider Information
- NPI Number
- 1760253058
- Entity Type
- Organization
- Organization Name
- Tyler Buckhout, Licsw, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jan 15, 2024
- Last Updated
- Jan 15, 2024
Practice Location
- Address
- 14 HAYNES ST UNIT 101
- City
- East Boston
- State
- Massachusetts
- ZIP Code
- 02128-4952
- Phone
- (617) 863-0096
Authorized Official
- Name
- TYLER S BUCKHOUT, LICSW
- Title
- OWNER
- Phone
- (978) 387-4404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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