Individual provider · Type 1 NPI

Charryse Fouquette Luckey, PhD, BCBA-D

Clinical Psychologist · St. Cloud, MN

NPI number 1073006524 Active

Practice location

1830 27th St SE Unit E
St. Cloud, MN 56304-8601

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X1-05-2231 (MN)
Clinical Psychologist Primary 103TC0700X6660 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1073006524

Charryse Fouquette Luckey, PhD, BCBA-D's National Provider Identifier is 1073006524, issued on Jun 10, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Cloud, MN. The record was last updated on Oct 26, 2022.