NPI 1316114887

Matthew Alan Lucas, MFT

Practitioner Marriage & Family Therapist Bloomington, IN

Practice location

Address: 120 W 7th St Suite 104, Bloomington, IN 47404-3834
Phone: (812) 339-1551
Fax: (812) 334-8398

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

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Registry record

NPI: 1316114887
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2008
Record last updated: 13 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.