Individual
DR. MARY LUCHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
200 W CASS ST, SAINT JOHNS, MI 48879-1807
(231) 598-0433
Mailing address
200 W CASS ST, SAINT JOHNS, MI 48879-1807
(231) 598-0433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-31174
—
103T00000X
Psychologist
6301016938
MI
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
6301016938
MI
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CV0082156
—
MI
Enumeration date
11/18/2013
Last updated
08/11/2022
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