Provider Demographics
NPI:1659586576
Name:MATTIS & LUCK CENTER FOR NEUROPSYCHOLOGICAL SERVICES LLP
Entity Type:Organization
Organization Name:MATTIS & LUCK CENTER FOR NEUROPSYCHOLOGICAL SERVICES LLP
Other - Org Name:LLP
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:ZARET
Authorized Official - Last Name:LUCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-997-5151
Mailing Address - Street 1:34 SOUTH BROADWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4432
Mailing Address - Country:US
Mailing Address - Phone:914-997-5151
Mailing Address - Fax:914-997-0333
Practice Address - Street 1:34 SOUTH BROADWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4432
Practice Address - Country:US
Practice Address - Phone:914-997-5151
Practice Address - Fax:914-997-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty