Amanda G Buckley, DHHSRD
Amanda G Buckley, DHHSRD is a Registered Dietitian OR Nutrition Professional in Berlin, Maryland. Qualified in 2004, 22 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 22
- Licensed in
- MD
- In the registry since
- 2014
Practice location Address checks out
9956 N Main St Ste 2Berlin, MD 21811-1077
Phone: (410) 629-6500
Fax: (410) 641-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence DX3584 (MD) |
|---|
Record details
| NPI number | 1720408610 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DHHSRD |
| Sole proprietor | No |
| NPI enumerated | April 18, 2014 |
| Last updated in NPPES | April 18, 2014 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Tidalhealth Specialty Care Llc — 366 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Berlin
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Katelyn R Busacca, RD, LDN
9714 Healthway Dr, Berlin, MD 21811-1154 · (410) 641-3340
-
Barbara Wishart Derr, RD, LD
9733 Healthway Dr, Berlin, MD 21811-1155 · (410) 641-9773
-
Kathleen Dorsch, RD
9714 Healthway Dr, Berlin, MD 21811-1154 · (410) 641-3340
-
Elaina Marie Gaden, RD
9714 Healthway Dr, Berlin, MD 21811-1154 · (410) 641-9433