Individual
DR. JOHN WILLIAM DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1800 30TH ST, SUITE 207, BOULDER, CO 80301-1088
(303) 746-4402
Mailing address
PO BOX 18553, BOULDER, CO 80308-1553
(303) 746-4402
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2846
CO
103G00000X
Clinical Neuropsychologist
6301006649
MI
Other
Enumeration date
07/29/2006
Last updated
11/10/2009
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