TERRI S LUSTICK III CP

Dr TERRI S LUSTICK III CP is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1987.

Contact

114 FORREST AVE
SUITE 101
NARBERTH
PA
190722218

Tel: 6106682290

TERRI S LUSTICK III CP Information

Npi 1649348335
Pac Id 3274572102
Professional Enrollment Id I20050429000046
Last Name LUSTICK
First Name TERRI
Middle Name S
Suffix III
Gender F
Credential CP
Medical School Name OTHER
Graduation Year 1987
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 114 FORREST AVE
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City NARBERTH
State PA
Zip Code 190722218
Phone Number 6106682290
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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