DR. STEPHANIE MARY BUCK PH.D. MACP NPI 1891855409

NPI Information

NPI: 1891855409
Provider Name: DR. STEPHANIE MARY BUCK, PH.D., MACP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
831 S MILLS ST
MADISON, WI
ZIP 53715
Phone: (608) 886-6478
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DR. Stephanie Mary Buck, PH.D., MACP is a mental health counselor in Madison, WI. DR. Stephanie Mary Buck, PH.D., MACP NPI is 1891855409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

831 S MILLS ST
MADISON, WI
ZIP 53715-851
Phone: (608) 886-6478
Fax: (866) 298-4159

The enumeration date for this NPI number is 12/12/2006 and was last updated on 12/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4801-125	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	0680000236	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1891855409	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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