DR. John Edd Bucklew, PH.D.

NPI #1962685446 in Fulton, Missouri

Provider Information

NPI Number
1962685446
Entity Type
Individual
Name
DR. John Edd Bucklew, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PH.D.
Enumeration Date
Dec 7, 2007
Last Updated
Dec 7, 2007

Practice Location

Address
600 E 5TH ST
City
Fulton
ZIP Code
65251-1753
Phone
(573) 592-2796

Specialties & Taxonomy Codes

Specialty
Psychologist

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