Provider Demographics
NPI:1184620932
Name:BUCK, FRANCES MARKS (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:MARKS
Last Name:BUCK
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 1:1018 BURLINGTON AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-5666
Mailing Address - Country:US
Mailing Address - Phone:406-549-9404
Mailing Address - Fax:
Practice Address - Street 1:1018 BURLINGTON AVE
Practice Address - Street 2:STE 101
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-5666
Practice Address - Country:US
Practice Address - Phone:406-549-9404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT161103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0492986Medicaid
MO50721OtherBCBS
MT0492986Medicaid