Individual provider · NPI-1

Brandi Buchanan, PHD

Psychologist, Clinical · Rockwall, TX

NPI number1659761625
StatusActive
Last updated in NPPESApr 23, 2024

Details

NPI
1659761625
Entity type
Individual (NPI-1)
Name
Brandi Buchanan
Credential
PHD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 29, 2015
Certification date
Dec 13, 2022
Last updated
Apr 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical37022TXYes
103G00000X Clinical Neuropsychologist––

Practice location

777 Justin Rd
Rockwall, TX 75087-4840

Phone 214-620-5580 · Fax 469-264-5037

Mailing address

777 Justin Rd
Rockwall, TX 75087-4840

Phone 214-620-5580 · Fax 469-264-5037

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