Individual
MR. GERALD DOUGLAS LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. A,, L. L. P.
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(586) 469-7629
(586) 469-7662
Mailing address
9410 MCDOUGALL, HAMTRAMCK, MI 48212
(313) 874-4430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005113
MI
103TA0700X
Adult Development & Aging Psychologist
6301005113
MI
103TC0700X
Clinical Psychologist
6301005113
MI
103TC1900X
Counseling Psychologist
6301005113
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301005113
MI
103TF0000X
Family Psychologist
6301005113
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301005113
MI
103TP2701X
Group Psychotherapy Psychologist
6301005113
MI
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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