DR. MARY LOUISE LUCKHARDT PH.D.
NPI 1336361252
Psychologist in Raleigh, NC

Active since May 02, 2007
4909 WATERS EDGE DRIVE, SUITE 100, RALEIGH, NC 27606(919) 816-9008 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Louise Luckhardt Ph.d. NPPES

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

DR. MARY LOUISE LUCKHARDT PH.D. (NPI 1336361252) is an individual psychologist in Raleigh, North Carolina, licensed in North Carolina (782) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336361252
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY LOUISE LUCKHARDTCredential: PH.D.
Location Address4909 WATERS EDGE DRIVE, SUITE 100Raleigh, NC 27606
Mailing Address5628 Cary Glen Blvd.Raleigh, NC 27519 · (919) 467-3343
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1336361252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 782
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4909 WATERS EDGE DRIVE, Raleigh, NC 27606

Other Identifiers 1

Medicaid60-00027NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4909 WATERS EDGE DRIVE
RALEIGH, NC 27606

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 Mary Luckhardt's NPI number?

The NPI number for Mary Luckhardt is 1336361252. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Mary Luckhardt located?

Mary Luckhardt practices at 4909 Waters Edge Drive Suite 100, Raleigh, NC 27606. The listed phone number is (919) 816-9008.

What is Mary Luckhardt's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary Luckhardt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.