LISA M BUCKLOH

JACKSONVILLE, FL
NPI1811003734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: FL  PY6027)
Enumeration Date2006-08-22
Last Update Date2011-09-07
Business Address
Dr. LISA M BUCKLOH PhD
807 CHILDRENS WAY
JACKSONVILLE, FL 32207-8426
Phone number: 904-390-3600
Mailing Address
Dr. LISA M BUCKLOH PhD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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