1659496313 NPI number — MRS. RYAN EMILY LUCASH PH.D.

Table of content: MRS. RYAN EMILY LUCASH PH.D. (NPI 1659496313)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659496313 NPI number — MRS. RYAN EMILY LUCASH PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUCASH
Provider First Name:
RYAN
Provider Middle Name:
EMILY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FUSSELL
Provider Other First Name:
RYAN
Provider Other Middle Name:
EMILY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659496313
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
750 WELCH RD
Provider Second Line Business Mailing Address:
DEVELOPMENTAL-BEHAVIORAL PEDIATRICS OFFICE
Provider Business Mailing Address City Name:
PALO ALTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94304-1507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-725-8995
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 WELCH RD
Provider Second Line Business Practice Location Address:
DEVELOPMENTAL-BEHAVIORAL PEDIATRICS OFFICE
Provider Business Practice Location Address City Name:
PALO ALTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94304-1507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-725-8995
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PSY25960 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)