John Edd Bucklew, PH.D.

Psychologist · Fulton, MO

Individual Active NPI

NPI number 1962685446

Practice location

600 E 5TH St
Fulton, MO 65251-1753
Phone
(573) 592-2796

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NPI record

NPI
1962685446
Entity type
Individual (Type 1)
Enumeration date
December 7, 2007
Last updated
December 7, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 00975 MO

About Dr. Bucklew

John Edd Bucklew, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 600 E 5TH St, Fulton, MO 65251-1753. The NPI number 1962685446 was assigned on December 7, 2007 and the record was last updated on December 7, 2007.

Dr. Bucklew lists a license in the registry: #00975 (MO) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Edd Bucklew, PH.D.?

The NPI number is 1962685446.

What is the phone number of Dr. Bucklew?

The phone number listed for the practice location is (573) 592-2796.

Where is Dr. Bucklew located?

600 E 5TH St, Fulton, MO 65251-1753.

What is the taxonomy code for Dr. Bucklew?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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