Individual
DR. LUKISHA HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17232 133RD AVE APT 11G, JAMAICA, NY 11434-3933
(718) 949-4812
(718) 276-2093
Mailing address
17232 133RD AVE APT 11G, JAMAICA, NY 11434-3933
(718) 689-0888
(718) 276-2093
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017062
NY
Other
Enumeration date
04/26/2007
Last updated
08/14/2012
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