DR. Steven Lucero, PHD, MBA

NPI #1205433059 in Logan, Utah

Provider Information

NPI Number: 1205433059
Entity Type: Individual
Name: DR. Steven Lucero, PHD, MBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD, MBA
Enumeration Date: Oct 5, 2020
Last Updated: Oct 5, 2020

Practice Location

Address: 93 S 1250 E
City: Logan
State: Utah
ZIP Code: 84321-6770
Phone: (307) 631-0148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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