Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1093142838 |
---|---|
Provider Name | Dr. Margaret Mary Buckley |
First Address | Lake View, NY 14085-9629 |
Second Address | Buffalo, NY 14210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2013 |
Last Update Date | 10/10/2013 |