Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL BUFORD, LP
Active Sole ProprietorRUSSELL BUFORD, LP is a Psychologist healthcare provider located in FORT DEFIANCE, Arizona. NPI 1144687682 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1144687682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2016 (10.503392887942 yrs)
- Last Updated
- Nov 1, 2019
- Licenses
-
22220 (NC)5098 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CORNER OF ROUTE N12 AND N7FORT DEFIANCE, AZ, 86504Browse AZ providers · Browse ZIP 86504
- Phone
- 9287298000
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.