MARTIE RYAN LUKANICH PSY.D.LCPC NPI 1497886196

NPI Information

Martie Ryan Lukanich, PSY.D.,LCPC is a professional counselor in Orland Park, IL. Martie Ryan Lukanich, PSY.D.,LCPC NPI is 1497886196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9601 165TH ST
SUITE 6
ORLAND PARK, IL
ZIP 60467-660
Phone: (708) 829-8277
Fax: (708) 352-2305

The NPI 1497886196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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