Individual provider · Type 1 NPI
Mary Louise Luckhardt, PhD
Psychologist · Raleigh, NC
Practice location
4909 Waters Edge Drive, Suite 100
Raleigh, NC 27606
Mailing address
5628 Cary Glen Blvd.
Raleigh, NC 27519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 782 (NC) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1336361252
Mary Louise Luckhardt, PhD's National Provider Identifier is 1336361252, issued on May 2, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 8, 2007.