Bonnie D Lucks is a Clinical in San Diego, California. Bonnie D Lucks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie D Lucks is 1609910876. The last update date is 2022-07-29.
Bonnie D Lucks's current location address is Po Box 191274, San Diego, California. You can contact this provider via phone number 6195004658 and fax number 6195634559. The mailing address for Bonnie D Lucks is Po Box 191274, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie D Lucks |
|---|---|
| Address | Po Box 191274, San Diego, California |
| Phone Number | 6195004658 |
| Fax Number | 6195634559 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1609910876 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2022-07-29 |
Provider Mailing Address Detail
| Address | Po Box 191274 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921591274 |
| Phone Number | 6195004658 |
| Fax Number | 6195634559 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 22788 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Bonnie D Lucks?
The Bonnie D Lucks has been issued the NPI (National Provider Identifier) 1609910876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Bonnie D Lucks's physical address?
The Bonnie D Lucks is physically located at Po Box 191274, in the city of San Diego, CA, with the postal code 921591274.
What is Bonnie D Lucks's area of expertise and its corresponding taxonomy classification?
The Bonnie D Lucks's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When was the Bonnie D Lucks's 1609910876 issued?
The Bonnie D Lucks's 1609910876 was issued on 2007-02-19.
When was the Bonnie D Lucks's information last updated?
The Bonnie D Lucks's information was last updated on 2022-07-29.