| NPI | 1841421328 |
|---|---|
| Former Legal Business Name | BONNIE LUCKS, PH.D |
| Entity Type | Organization |
| Authorized Contact | BONNIE DOREEN LUCKS Clinical Psychologist 619-569-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY22788) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22788) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY22788) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2022-07-29 |