Individual
HEATHER LUCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2844 43RD ST, APT 3A, ASTORIA, NY 11103-2107
(917) 716-3723
Mailing address
2844 43RD ST, APT 3A, ASTORIA, NY 11103-2107
(917) 716-3723
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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