Dr. Whitney Buckley
Clinical Child & Adolescent Psychologist
2505 Black Rock Tpke Ste 2
Fairfield
, Connecticut 06825-2408
Dr. Whitney Buckley
Clinical Child & Adolescent Psychologist
2505 Black Rock Tpke Ste 2
Fairfield
, Connecticut 06825-2408
(203) 335-1753
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Whitney Buckley
- 994 Valley Rd
- Fairfield, CT
- Zip : 06825-1671
- Phone : (203) 335-1753
Second Address
- Dr. Whitney Buckley
- 2505 Black Rock Tpke Ste 2
- Fairfield, CT
- Zip : 06825-2408
- Phone : (203) 521-4608
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 003180 | CT |
National Provider Identifier
| NPI | 1073127270 |
|---|---|
| Provider Name | Dr. Whitney Buckley |
| First Address | Fairfield, CT 06825-1671 |
| Second Address | Fairfield, CT 06825-2408 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.