David J Lutz is a Clinical in Springfield, Missouri. David J Lutz practices all healthcare services and medical treatments related to Clinical. The NPI Number for David J Lutz is 1639166168. The last update date is 2007-07-09.
David J Lutz's current location address is 1320 E Kingsley St, Springfield, Missouri. You can contact this provider via phone number 4178824110 and fax number 4178661496. The mailing address for David J Lutz is 1320 E Kingsley St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J Lutz |
|---|---|
| Address | 1320 E Kingsley St, Springfield, Missouri |
| Phone Number | 4178824110 |
| Fax Number | 4178661496 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1639166168 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1320 E Kingsley St |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658047216 |
| Phone Number | 4178824110 |
| Fax Number | 4178661496 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | R0201 |
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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 |
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What is the unique 10-digit identification code assigned to David J Lutz by the Centers for Medicare & Medicaid Services?
The David J Lutz has been issued the NPI (National Provider Identifier) 1639166168, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the David J Lutz located?
The David J Lutz is located at 1320 E Kingsley St, Springfield, MO 658047216.
What is David J Lutz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David J Lutz is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the David J Lutz receive its 1639166168 assignment from the Centers for Medicare & Medicaid Services?
The David J Lutz was assigned its 1639166168 by the Centers for Medicare & Medicaid Services on 2005-09-30.
As of what date were the details related to David J Lutz most recently updated or revised?
The information pertaining to David J Lutz, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.