| Rita Joy Stucky Phd., Inc. | |
|
1311 Wakarusa Dr St. 2116 Lawrence KS 66049-4798 | |
| (785) 841-4114 | |
| (785) 841-4114 |
| Full Name | Rita Joy Stucky Phd., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1311 Wakarusa Dr, Lawrence, Kansas |
| Authorized Official Name and Position | Rita J Stucky (PRESIDENT) |
| Authorized Official Contact | 7858414114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rita Joy Stucky Phd., Inc. 1311 Wakarusa Dr St. 2116 Lawrence KS 66049-4798 Ph: (785) 841-4114 | Rita Joy Stucky Phd., Inc. 1311 Wakarusa Dr St. 2116 Lawrence KS 66049-4798 Ph: (785) 841-4114 |
| NPI Number | 1184765562 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739142845 |
|---|---|
| Medicare Enrollment ID | O20041110000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184765562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 647 (Kansas) | Primary |
| Provider Name | Rita Joy Stucky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811094485 PECOS PAC ID: 9335102458 Enrollment ID: I20041111000316 |
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