Individual
MR. RAYMOND LUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2500 N MAYFAIR RD STE 560, WAUWATOSA, WI 53226-1415
(414) 771-5002
(414) 771-2928
Mailing address
2500 N MAYFAIR RD STE 560, WAUWATOSA, WI 53226-1415
(414) 771-5002
(414) 771-2928
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1434
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434
LICENSE NUMBER
WI
Enumeration date
09/16/2006
Last updated
07/08/2007
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