Individual
JENNIFER LYNN LUESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3541 RANDOLPH RD, SUITE 206, CHARLOTTE, NC 28211-1253
(704) 381-8336
(704) 381-8332
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 381-8336
(704) 381-8332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972911360
—
NC
05
—
PS0585
—
SC
Enumeration date
07/29/2014
Last updated
11/21/2016
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