Mary Louise Luckhardt in Raleigh - Psychologist
Mary Louise Luckhardt - NPI 1336361252
Mary Louise Luckhardt is a Psychologist in Raleigh, North Carolina. Mary Louise Luckhardt practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Louise Luckhardt is 1336361252. The last update date is 2007-07-08.
Mary Louise Luckhardt's current location address is 4909 Waters Edge Drive, Raleigh, North Carolina. You can contact this provider via phone number 9198169008. The mailing address for Mary Louise Luckhardt is 4909 Waters Edge Drive, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Louise Luckhardt |
|---|---|
| Address | 4909 Waters Edge Drive, Raleigh, North Carolina |
| Phone Number | 9198169008 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336361252 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4909 Waters Edge Drive |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 27606 |
| Phone Number | 9198169008 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 782 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60-00027 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Louise Luckhardt by the Centers for Medicare & Medicaid Services?
The Mary Louise Luckhardt has been issued the NPI (National Provider Identifier) 1336361252, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Louise Luckhardt located?
The Mary Louise Luckhardt is located at 4909 Waters Edge Drive, Raleigh, NC 27606.
What is Mary Louise Luckhardt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Louise Luckhardt's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did the Mary Louise Luckhardt receive its 1336361252?
The Mary Louise Luckhardt was issued its 1336361252 on 2007-05-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Mary Louise Luckhardt most recently updated or refreshed?
The details pertaining to the Mary Louise Luckhardt, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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