Provider Demographics
NPI:1437268380
Name:BUGGLIN, CAROL S (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:S
Last Name:BUGGLIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:846 WALKER RD
Mailing Address - Street 2:STE. 32-2
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2756
Mailing Address - Country:US
Mailing Address - Phone:302-674-2265
Mailing Address - Fax:302-674-3321
Practice Address - Street 1:846 WALKER RD
Practice Address - Street 2:STE. 32-2
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2756
Practice Address - Country:US
Practice Address - Phone:302-674-2265
Practice Address - Fax:302-674-3321
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB10000257103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE015413P78Medicare UPIN