Individual
DR. HOWARD TROY LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4164 RIGGINS MILL RD, MACON, GA 31217-5440
(478) 207-3947
Mailing address
101 CLUB CT, WARNER ROBINS, GA 31088-7534
(478) 923-7414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2622
GA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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