Individual
DR. LUCHY JULIA SECAIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
712 93RD AVE N, NAPLES, FL 34108-2441
(239) 628-0915
Mailing address
712 93RD AVE N, NAPLES, FL 34108-2441
(239) 628-0915
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4096
NC
103TC0700X
Clinical Psychologist
4096
NC
103TH0100X
Health Service Psychologist
4096
NC
103TR0400X
Rehabilitation Psychologist
4096
NC
Other
Enumeration date
06/12/2011
Last updated
12/29/2011
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