Provider Demographics
NPI:1679637466
Name:DUQUETTE, LUCIEN LAURIER (PHD)
Entity type:Individual
Prefix:DR
First Name:LUCIEN
Middle Name:LAURIER
Last Name:DUQUETTE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-2454
Mailing Address - Country:US
Mailing Address - Phone:201-894-1224
Mailing Address - Fax:
Practice Address - Street 1:15 ENGLE ST STE 203
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2920
Practice Address - Country:US
Practice Address - Phone:201-894-1224
Practice Address - Fax:201-894-4720
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI02555103TC2200X, 103T00000X, 103TB0200X, 103TA0400X, 103TP2701X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily