Provider Demographics
NPI:1699904672
Name:LUSCHER, KRISTEN ANNE (PHD)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:ANNE
Last Name:LUSCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 BELLEMEADE BLVD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7153
Mailing Address - Country:US
Mailing Address - Phone:504-392-8348
Mailing Address - Fax:504-398-4334
Practice Address - Street 1:229 BELLEMEADE BLVD
Practice Address - Street 2:SUITE 420
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7153
Practice Address - Country:US
Practice Address - Phone:504-392-8348
Practice Address - Fax:504-398-4334
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA979103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical