Heidi Lucas Buckner
Individual provider Active NPI School Psychologist · Broadlands, VA
NPI 1447748769 · NPPES record last updated Apr 23, 2018
Key facts
- NPI
- 1447748769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 21000 Education CT
Broadlands, VA 20148-5526 - Phone
- (571) 252-1013
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun County Public Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
21000 Education CT
Broadlands, VA 20148-5526
Mailing address
21000 Education CT
Broadlands, VA 20148-5526
Other providers in Broadlands, VA
- Broadlands Speech and Language P.C.
- Tara V. Brokaw
- Stacey Brosnan
- Sharon Brown
- Shoko Brown
- Mary Bulloch
- Rochon Bumgardner
- George Edward Burkett
- Natalie Burns
- Shawna Bush
All providers in Broadlands, VA · School Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.