Individual
RICHARD S LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
9702 GAYTON RD, SUITE 181, RICHMOND, VA 23238-4907
(804) 741-7500
(804) 741-7900
Mailing address
9702 GAYTON RD, SUITE 181, RICHMOND, VA 23238-4907
(804) 741-7500
(804) 741-7900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0715000001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701000183
BOARD OF COUNSELING
VA
01
—
0715000001
BOARD OF COUNSELING
VA
01
—
0810001482
BOARD OF PSYCHOLOGY
VA
Enumeration date
08/05/2009
Last updated
08/06/2009
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