Individual
ROBERT LUKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., J.D.
Contact information
Practice address
1638 PINE STREET, PHILADELPHIA, PA 19103-6401
(215) 704-4165
Mailing address
714 MARKET ST, SUITE 205, PHILADELPHIA, PA 19106-2326
(215) 634-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008853L
PA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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