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NPI Code Detail

MEDICARE: LISA PAULINE BUCKMAN LMHC

MEDICARE: LISA PAULINE BUCKMAN LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor5481MA

General Provider Information

NPI Number : 1104983907
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA PAULINE BUCKMAN LMHC
Provider Business Mailing Address
First Line : 1040 N PLEASANT ST
Second Line : APT. 12
City : AMHERST
State : MA
Zip : 01002-1374
Country : US
Telephone Number : 413-222-1800
Fax Number : 413-549-2085
Provider Business Practice Location Address
First Line : 10 CENTRAL ST
Second Line : SUITE 30
City : WEST SPRINGFIELD
State : MA
Zip : 01089-2700
Country : US
Telephone Number : 413-222-1800
Fax Number : 413-549-2085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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