Duque, Luis

Duque, Luis is an sole proprietor health care provider with primary practice located at 1212 Vfw Pkwy Suite # 19, West Roxbury MA 02132-4309. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Duque, Luis can be contacted via phone (617) 970-3002.

Contact Information

Primary practice address
1212 Vfw Pkwy Suite # 19 West Roxbury MA 02132-4309
Phone: (617) 970-3002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 377754 Massachusetts

Profile Details

NPI number 1356579932
LBN Legal business name Duque, Luis
Credentials NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 16 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 1356579932 NPPES
Other 38039 NCSP--NATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST
Other 377754 NCSP--NATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST

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