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CHARRYSE FOUQUETTE LUCKEY PH.D, BCBA-D
NPI 1073006524
Psychologist - Clinical in Saint Cloud, MN

Active since June 10, 2018
1830 27TH ST SE UNIT E, SAINT CLOUD, MN 56304(651) 503-7696 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2022, Mar 30, 2021 (2 updates tracked since 2021).

About Charryse Fouquette Luckey Ph.d, Bcba-d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARRYSE FOUQUETTE LUCKEY PH.D, BCBA-D (NPI 1073006524) is an individual clinical provider in Saint Cloud, Minnesota, licensed in Minnesota (6660) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1073006524
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCHARRYSE FOUQUETTE LUCKEYCredential: PH.D, BCBA-D
Location Address1830 27TH ST SE UNIT ESaint Cloud, MN 56304-8601
Mailing Address1830 27th St Se Unit ESaint Cloud, MN 56304-8601
Phone(651) 503-7696
Sole ProprietorNo
Enumeration DateJune 10, 2018
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1073006524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 6660
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-05-2231 (MN)
1830 27TH ST SE UNIT E, Saint Cloud, MN 56304
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charryse Luckey's NPI number?

The NPI number for Charryse Luckey is 1073006524. It was assigned to this individual provider in the NPPES registry on June 10, 2018.

Where is Charryse Luckey located?

Charryse Luckey practices at 1830 27th St SE Unit E, Saint Cloud, MN 56304. The listed phone number is (651) 503-7696.

What is Charryse Luckey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Charryse Luckey was last updated on October 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.