Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM BUCKNER
ActiveMR. JIM BUCKNER is a Speech-Language Pathologist healthcare provider located in SAN MATEO, California. NPI 1588257372 is currently active in the NPPES registry. Verify at CMS.
Speech-Language Pathologist · SAN MATEO, CA
Registration Details
- NPI Number
- 1588257372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2021 (5.3202513840873 yrs)
- Last Updated
- Feb 12, 2021
Practice Information
- Address
-
114 S DELAWARE STSAN MATEO, CA, 944013222Browse CA providers · Browse ZIP 94401
- Phone
- 6505797881
- Fax
- 6505792640
- Primary Specialty
-
Speech-Language Pathologist
235500000X
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.