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Individual

DR. BONNIE D LUCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
6367 ALVARADO CT STE 200, SAN DIEGO, CA 92120-4915
(619) 069-0777
(619) 563-4559
Mailing address
PO BOX 191274, SAN DIEGO, CA 92159-1274
(619) 500-4658
(619) 563-4559

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSB 22788
CA
103TC0700X
Clinical Psychologist
Primary
PSY 22788
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 22788
CA

Other

Enumeration date
02/19/2007
Last updated
07/29/2022
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