Individual
SUNNY ELLEN LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA INDEPENDENT
Contact information
Practice address
9200 PINECROFT DR STE 250, SHENANDOAH, TX 77380-3286
(281) 419-8400
(281) 292-1972
Mailing address
611 GLEN HAVEN DR, CONROE, TX 77385-7712
(281) 210-4119
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36448
TX
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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