| Lucks Psychology, Inc | |
|
6367 Alvarado Ct Ste 200 San Diego CA 92120-4915 | |
| (619) 569-0777 | |
| (619) 563-4559 |
| Full Name | Lucks Psychology, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6367 Alvarado Ct Ste 200, San Diego, California |
| Authorized Official Name and Position | Bonnie Doreen Lucks (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6195690777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucks Psychology, Inc Po Box 191274 San Diego CA 92159-1274 Ph: (619) 569-0777 | Lucks Psychology, Inc 6367 Alvarado Ct Ste 200 San Diego CA 92120-4915 Ph: (619) 569-0777 |
| NPI Number | 1841421328 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Medicare PECOS PAC ID | 9032263272 |
|---|---|
| Medicare Enrollment ID | O20090821000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841421328 | NPI | - | NPPES |
| Provider Name | Bonnie Doreen Lucks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609910876 PECOS PAC ID: 7214081454 Enrollment ID: I20200619001981 |
| Provider Name | Kristyne Skippergosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932550407 PECOS PAC ID: 3072926864 Enrollment ID: I20210118000185 |
| Provider Name | Lina Kogan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003105784 PECOS PAC ID: 8527471325 Enrollment ID: I20210118000213 |
| Provider Name | Heather Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194107292 PECOS PAC ID: 3476952730 Enrollment ID: I20210519001155 |
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