| Doctor Name: | MR. SALVATORE J LUCCA |
| NPI Number: | 1821159161 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 217612 |
| Business Practice Address: | 572 Route 28 Pare & Associates West Yarmouth, MA - 026734909 |
| Business Phone Number: | 5087750777 |
| Business Fax Number: | |
| Mailing Address: | 12 Widgeon Ln, WEST YARMOUTH |
| State: | MA |
| Postal Code: | 026733819 |
| Phone Number: | 5087769251 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 217612 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |