Organization
ELLEN LUCAS PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN B LUCAS PHD. (PSYCHOLOGIST)
(765) 254-9343
Entity
Organization
Contact information
Practice address
4900 N WHEELING AVE, SUITE 1, MUNCIE, IN 47304-7000
(765) 254-9343
(765) 254-9359
Mailing address
4900 N WHEELING AVE, SUITE 1, MUNCIE, IN 47304-7000
(765) 254-9343
(765) 254-9359
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20040571A
IN
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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