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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARRYSE FOUQUETTE LUCKEY, PH.D, BCBA-D

Active

CHARRYSE FOUQUETTE LUCKEY, PH.D, BCBA-D is a Clinical Psychologist healthcare provider located in SAINT CLOUD, Minnesota. NPI 1073006524 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SAINT CLOUD, MN

Registration Details

NPI Number
1073006524
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2018 (8.2014663817729 yrs)
Last Updated
Oct 26, 2022
Licenses
1-05-2231 (MN)
6660 (MN)

Practice Information

Address
1830 27TH ST SE UNIT E
SAINT CLOUD, MN, 563048601
Browse MN providers · Browse ZIP 56304
Phone
6515037696
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in SAINT CLOUD, MN

Name Credential NPI
DR. KATHRYN A LAAKSO PSYD LP 1518932177
DAVID J LESAR EDD LP 1700852266
MONICA A BEUMER PHD LP 1750395240
CURT L JOHNSON PHD LP 1871503995
DR. JOHN ROBERT DEMOTTS PH.D. 1194832121
MS. JENNIFER KAY ROCHELEAU DORHOLT PSYD, LP 1487762837
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.