Dr Lara Colleen Buckley, PSYD is a
Psychologist - Clinical based in Camarillo, California. Dr Lara Colleen Buckley is licensed to practice in California (license number PSY33291) and her current practice location is
1756 S Lewis Rd, Camarillo, California. She can be reached at her office (for appointments etc.) via phone at
(805) 383-3669.
NPI number for Dr Lara Colleen Buckley is 1649565656 and her current mailing address is 80 N Wood Rd Ste 302, Camarillo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649565656.
Healthcare Provider's Profile
| Full Name | Dr Lara Colleen Buckley |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1756 S Lewis Rd, Camarillo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649565656
- Provider Enumeration Date: 06/17/2011
- Last Update Date: 06/12/2025
Medical Identifiers
Medical identifiers for Dr Lara Colleen Buckley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649565656 | NPI | - | NPPES |
| 174400000X | Other | CA | OTHER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY33291 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lara Colleen Buckley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lara Colleen Buckley, PSYD
80 N Wood Rd Ste 302,
Camarillo, CA 93010-8312
Ph: (805) 910-5382 | Dr Lara Colleen Buckley, PSYD
1756 S Lewis Rd,
Camarillo, CA 93012-8520
Ph: (805) 383-3669 |
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