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Individual

DR. SHANE LUTCHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
021615
NY

Other

Enumeration date
09/18/2014
Last updated
07/07/2016
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