| Steven F Bucky Phd Apc | |
|
10455 Pomerado Rd Bldg M-15 San Diego CA 92131-1717 | |
| (619) 464-1196 | |
| Not Available |
| Full Name | Steven F Bucky Phd Apc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10455 Pomerado Rd Bldg M-15, San Diego, California |
| Authorized Official Name and Position | Steven F Bucky (PSYCHOLOGIST) |
| Authorized Official Contact | 6194641196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven F Bucky Phd Apc 9974 Scripps Ranch Blvd # 24 San Diego CA 92131-1825 Ph: () - | Steven F Bucky Phd Apc 10455 Pomerado Rd Bldg M-15 San Diego CA 92131-1717 Ph: (619) 464-1196 |
| NPI Number | 1255509485 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/15/2008 |
| Medicare PECOS PAC ID | 2264518612 |
|---|---|
| Medicare Enrollment ID | O20080325000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255509485 | NPI | - | NPPES |
| 00PL39390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY3939 (California) | Primary |
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