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Individual

DR. JULIA KUCK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4147 ADAMS AVE, SAN DIEGO, CA 92116-2509
(619) 281-1932
(619) 281-1947
Mailing address
4147 ADAMS AVE, SAN DIEGO, CA 92116-2509
(619) 281-1932
(619) 281-1947

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY14060
CA
103TC0700X
Clinical Psychologist
PSY14060
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY14060
PSYCHOLOGY BOARD LICENSE
CA
Enumeration date
09/30/2005
Last updated
09/11/2025
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