Stucky, Kirk J.

Stucky, Kirk J. is an individual health care provider with primary practice located at 2700 Robert T Longway Blvd Suite 1, Flint MI 48503-2190. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Stucky, Kirk J. can be contacted via phone (810) 239-1975.

Contact Information

Primary practice address
2700 Robert T Longway Blvd Suite 1 Flint MI 48503-2190
Phone: (810) 239-1975
Fax: (810) 239-1281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301009785 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301009785 Michigan
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 6301009785 Michigan

Profile Details

NPI number 1922153980
LBN Legal business name Stucky, Kirk J.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922153980 NPPES
Michigan Other OB54550 BCBS GROUP (ROBERT T)
Michigan Other OB51092 BCBS GROUP (ROBERT T)

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