Provider Demographics
NPI:1508187006
Name:BUCKLER, GAYLE ANNE PLATT (LBSW, MS)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:ANNE PLATT
Last Name:BUCKLER
Suffix:
Gender:F
Credentials:LBSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2828
Mailing Address - Country:US
Mailing Address - Phone:615-452-9766
Mailing Address - Fax:615-452-1125
Practice Address - Street 1:122 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2828
Practice Address - Country:US
Practice Address - Phone:615-452-9766
Practice Address - Fax:615-452-1125
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNBSW0000000007104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker