Individual
WILLIAM J LUECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2617 12TH CT SW STE B5, OLYMPIA, WA 98502-1023
(360) 754-9870
(360) 352-7881
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118102
L&I
WA
05
—
782044
—
WA
01
—
LU6331
REGENCE RIDER
WA
Enumeration date
12/01/2006
Last updated
01/14/2008
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