| Ellen Lucas Ph.d. P.c. | |
|
4900 N Wheeling Ave Suite 1 Muncie IN 47304-7000 | |
| (765) 254-9343 | |
| (765) 254-9359 |
| Full Name | Ellen Lucas Ph.d. P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4900 N Wheeling Ave, Muncie, Indiana |
| Authorized Official Name and Position | Ellen B Lucas (PSYCHOLOGIST) |
| Authorized Official Contact | 7652549343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Lucas Ph.d. P.c. 4900 N Wheeling Ave Suite 1 Muncie IN 47304-7000 Ph: (765) 254-9343 | Ellen Lucas Ph.d. P.c. 4900 N Wheeling Ave Suite 1 Muncie IN 47304-7000 Ph: (765) 254-9343 |
| NPI Number | 1740526334 |
|---|---|
| Provider Enumeration Date | 12/31/2012 |
| Last Update Date | 12/31/2012 |
| Medicare PECOS PAC ID | 0840443016 |
|---|---|
| Medicare Enrollment ID | O20130122000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740526334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 20040571A (Indiana) | Primary |
| Provider Name | Ellen B Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326076084 PECOS PAC ID: 7911150180 Enrollment ID: I20130122000211 |
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