Dr. Carolyn Sue Lucas
Psychologist
3887 Okemos Rd Suite A2
Okemos
, Michigan 48864-3664
Dr. Carolyn Sue Lucas
Psychologist
3887 Okemos Rd Suite A2
Okemos
, Michigan 48864-3664
(517) 347-3702
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Carolyn Sue Lucas
- 3887 Okemos Rd Suite A2
- Okemos, MI
- Zip : 48864-3664
- Fax : (517) 347-3702
- Phone : (517) 333-6700
Second Address
- Dr. Carolyn Sue Lucas
- 3887 Okemos Rd Suite A2
- Okemos, MI
- Zip : 48864-3664
- Fax : (517) 347-3702
- Phone : (517) 333-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 6301008781 | MI |
| Y | 103T00000X | Psychologist | 6301008781 | MI |
National Provider Identifier
| NPI | 1013008374 |
|---|---|
| Provider Name | Dr. Carolyn Sue Lucas |
| First Address | Okemos, MI 48864-3664 |
| Second Address | Okemos, MI 48864-3664 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 25/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 044627 | VALUE OPTIONS (01) | MI |
| 0C33276 | BLUE CROSS BLUE SHIELD PI (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.