| Lila Bucklin | |
|
65 Cornwall St Unit 104 Jamaica Plain MA 02130-2696 | |
| (617) 642-8929 | |
| Not Available |
| Full Name | Lila Bucklin |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 65 Cornwall St Unit 104, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Lila Bucklin (PSYCHOTHERAIST) |
| Authorized Official Contact | 6176428929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lila Bucklin 65 Cornwall St Unit 104 Jamaica Plain MA 02130-2696 Ph: () - | Lila Bucklin 65 Cornwall St Unit 104 Jamaica Plain MA 02130-2696 Ph: (617) 642-8929 |
| NPI Number | 1437521275 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437521275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 118583 (Massachusetts) | Primary |
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