Provider Demographics
NPI:1093029167
Name:LUZIER, JESSICA LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LYNN
Last Name:LUZIER
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:3200 MACCORKLE AVE SE
Mailing Address - Street 2:DEPT OF BEHAVIORAL MEDICINE, 5TH FLOOR
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1227
Mailing Address - Country:US
Mailing Address - Phone:304-388-1029
Mailing Address - Fax:304-388-1041
Practice Address - Street 1:3200 MACCORKLE AVE SE
Practice Address - Street 2:DEPT OF BEHAVIORAL MEDICINE, 5TH FLOOR
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1227
Practice Address - Country:US
Practice Address - Phone:304-388-1029
Practice Address - Fax:304-388-1041
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2022-04-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist