| Doctor Name: | DR. MARIJO NEW LUCAS |
| NPI Number: | 1104054402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS006577L |
| Business Practice Address: | 1788 Wilmington Pike Suite 2700 Glen Mills, PA - 193428181 |
| Business Phone Number: | 6102993478 |
| Business Fax Number: | |
| Mailing Address: | Po Box 134, ROCKLAND |
| State: | DE |
| Postal Code: | 197320134 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2009 |
| NPI Last Update Date: | 08/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS006577L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |