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DR. JULIA KUCK PH.D.

Clinical Neuropsychologist

San Diego, California

Provider NPI: 1184611576

Provider Information:
DR. JULIA  KUCK PH.D.
Gender: F


Practice Location:
4147 ADAMS AVE  SAN DIEGO, CA 92116 US
Tel: 619-281-1932  Fax: 619-281-1947

Business Mailing Address:
4147 ADAMS AVE  SAN DIEGO, CA 92116 US
Tel: 619-281-1932  Fax: 619-281-1947

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY14060
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY14060

Other Provider Identifiers:

IssuerNumberStateType
PSYCHOLOGY BOARD LICENSEPSY14060CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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