Provider Demographics
NPI:1528213287
Name:BUCKSON, CYNDIE MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CYNDIE
Middle Name:MARIE
Last Name:BUCKSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 ROBERTS PROSPECT DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3378
Mailing Address - Country:US
Mailing Address - Phone:301-806-1860
Mailing Address - Fax:
Practice Address - Street 1:5200 ROBERTS PROSPECT DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3378
Practice Address - Country:US
Practice Address - Phone:301-806-1860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04117103TC0700X
MA04117103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic