Organization · Type 2 NPI

Martie Ryan Lukanich Psy D PC

Community/Behavioral Health Agency · Orland Park, IL

NPI number 1508535618 Active

Practice location

9631 W 153rd St Ste 37
Orland Park, IL 60462-3778

Mailing address

521 Bell Ave
La Grange, IL 60525-5903

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1508535618

Martie Ryan Lukanich Psy D PC's National Provider Identifier is 1508535618, issued on Sep 10, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Orland Park, IL. The record was last updated on Sep 10, 2021.