Individual
BRIAN LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
211 HUNTER PARK, PRINCETON, WV 24740-2532
(304) 487-6121
(304) 487-8741
Mailing address
211 HUNTER PARK, PRINCETON, WV 24740-2532
(304) 487-6121
(304) 487-8741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1255
WV
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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