Organization
LUCKS PSYCHOLOGY, INC
Active
Other names
Bonnie Lucks, Ph.D
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE DOREEN LUCKS PH.D (CLINICAL PSYCHOLOGIST)
(619) 569-0777
Entity
Organization
Contact information
Practice address
6367 ALVARADO CT STE 200, SAN DIEGO, CA 92120-4915
(619) 569-0777
(619) 563-4559
Mailing address
PO BOX 191274, SAN DIEGO, CA 92159-1274
(619) 569-0777
(619) 644-5518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY22788
CA
103TC0700X
Clinical Psychologist
PSY22788
CA
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY22788
CA
Other
Enumeration date
08/03/2009
Last updated
07/29/2022
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