Provider Demographics
NPI:1740793165
Name:BUCK H WOO PHD LLC
Entity Type:Organization
Organization Name:BUCK H WOO PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BUCK
Authorized Official - Middle Name:HONG
Authorized Official - Last Name:WOO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:978-549-3380
Mailing Address - Street 1:25 STOREY AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-1869
Mailing Address - Country:US
Mailing Address - Phone:978-549-3380
Mailing Address - Fax:888-567-7533
Practice Address - Street 1:110 HAVERHILL RD STE 501
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2131
Practice Address - Country:US
Practice Address - Phone:978-225-7766
Practice Address - Fax:888-567-7533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4951103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
11715463OtherCAQH