Provider Demographics
NPI:1902576804
Name:DUMAS ESPINOZA, LUCI (PHD)
Entity type:Individual
Prefix:DR
First Name:LUCI
Middle Name:
Last Name:DUMAS ESPINOZA
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 1:1248 GOOD SHEPHERD RD
Mailing Address - Street 2:
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754-8086
Mailing Address - Country:US
Mailing Address - Phone:210-842-8247
Mailing Address - Fax:
Practice Address - Street 1:1248 GOOD SHEPHERD RD
Practice Address - Street 2:
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754-8086
Practice Address - Country:US
Practice Address - Phone:210-842-8247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2025-05-12
Deactivation Date:2022-09-27
Deactivation Code:
Reactivation Date:2025-05-12
Provider Licenses
StateLicense IDTaxonomies
OHP.08209103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical