Individual provider · Type 1 NPI

Brooke Buckley

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1649053570 Active

Practice location

969 Frayser Blvd
Memphis, TN 38127-5977

Call (760) 803-7030 Map

Mailing address

59 N Ashlawn Rd
Memphis, TN 38112-4306

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649053570

Brooke Buckley's National Provider Identifier is 1649053570, issued on Aug 15, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Aug 15, 2023.