| Deborah Denise Mcculley-buckley, MA, LMFT | |
|
5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 | |
| (323) 205-7088 | |
| (833) 419-0181 |
| Full Name | Deborah Denise Mcculley-buckley |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 5201 Great America Pkwy Ste 320, Santa Clara, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710641188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0717002173 (Virginia) | Secondary |
| 106H00000X | Marriage & Family Therapist | 146024 (California) | Primary |
| Entity Name | Talkspace Provider Network Ca Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003506866 PECOS PAC ID: 7719339548 Enrollment ID: O20240117003713 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Denise Mcculley-buckley, MA, LMFT 9919 Ramona St Apt 310, Bellflower, CA 90706-7311 Ph: (562) 712-0445 | Deborah Denise Mcculley-buckley, MA, LMFT 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 Ph: (323) 205-7088 |
Mrs. Deborah Marie Boucher-carter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 Fax: 833-419-0181 | |
Jason Nerio, Couples Therapy Medicare: Medicare Enrolled Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Chuck Kaspar, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3140 De La Cruz Blvd, S200, Santa Clara, CA 95054 Phone: 408-988-1182 Fax: 408-970-4204 | |
Ms. Taraneh Roosta, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 281 Woodhams Rd, Santa Clara, CA 95051 Phone: 408-966-5612 | |
Lilian Garcia, MFC 85016 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd., Suite 7, Santa Clara, CA 95050 Phone: 650-690-2997 Fax: 888-925-2429 | |
Gabrielle Mattson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd, Santa Clara, CA 95050 Phone: 408-689-8104 | |
Geovana Scarlett Marquez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Coleman Ave Ste B13, Santa Clara, CA 95050 Phone: 650-618-9500 |