Individual
DR. DELLA S LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
710 N. BEAVER STREET, BLDG 4, FLAGSTAFF, AZ 86001-3139
(928) 774-7997
Mailing address
710 N. BEAVER STREET, BLDG 4, FLAGSTAFF, AZ 86001-3139
(928) 774-7997
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3232
AZ
103TC0700X
Clinical Psychologist
Primary
3232
AZ
103TF0200X
Forensic Psychologist
3232
AZ
Other
Enumeration date
07/26/2007
Last updated
07/06/2020
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