Doctor Name: | DR. MARIA A LUCCHESI |
NPI Number: | 1184807570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PY6795 |
Business Practice Address: | 1666 J F Kennedy Cswy 211 North Bay Village, FL - 331414169 |
Business Phone Number: | 3058676856 |
Business Fax Number: | 3053971523 |
Mailing Address: | 1666 J F Kennedy Cswy, 211 NORTH BAY VILLAGE |
State: | FL |
Postal Code: | 331414169 |
Phone Number: | 3058676856 |
Fax Number: | 3053971523 |
NPI Enumeration Date: | 12/09/2007 |
NPI Last Update Date: | 05/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | PY6795 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |