Provider Demographics
NPI:1437489861
Name:LUCHSINGER, INGRID ELENA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:ELENA
Last Name:LUCHSINGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 SULLIVAN ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4340
Mailing Address - Country:US
Mailing Address - Phone:646-541-1934
Mailing Address - Fax:
Practice Address - Street 1:411 WEST 114TH ST
Practice Address - Street 2:SUITE 1A, RM 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-523-3071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018356103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent