Individual
DR. JONATHAN R FLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6722
Mailing address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4251
AZ
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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