Individual
RICHARD S LUCK
Active
Individual
RICHARD S LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
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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