Provider Demographics
NPI:1366739666
Name:LUCIER, BRIAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:LUCIER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3296 POST RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7131
Mailing Address - Country:US
Mailing Address - Phone:401-739-1010
Mailing Address - Fax:401-739-1110
Practice Address - Street 1:3296 POST RD STE 2A
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7131
Practice Address - Country:US
Practice Address - Phone:401-739-1010
Practice Address - Fax:401-739-1110
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01240103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical