John Carl Lutz in West Boylston - Clinical Child & Adolescent
John Carl Lutz - NPI 1699826172
John Carl Lutz is a Clinical Child & Adolescent in West Boylston, Massachusetts. John Carl Lutz practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for John Carl Lutz is 1699826172. The last update date is 2007-07-08.
John Carl Lutz's current location address is 148 Worcester St, West Boylston, Massachusetts. You can contact this provider via phone number 5088351735 and fax number 5088351736. The mailing address for John Carl Lutz is 148 Worcester St, West Boylston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Carl Lutz |
|---|---|
| Address | 148 Worcester St, West Boylston, Massachusetts |
| Phone Number | 5088351735 |
| Fax Number | 5088351736 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1699826172 |
|---|---|
| Provider Enumeration Date | 2007-01-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 148 Worcester St |
|---|---|
| City | West Boylston |
| State | Massachusetts (MA) |
| Post Code | 15831751 |
| Phone Number | 5088351735 |
| Fax Number | 5088351736 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 7517 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code assigned to John Carl Lutz by the Centers for Medicare & Medicaid Services?
The John Carl Lutz has been issued the NPI (National Provider Identifier) 1699826172 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of John Carl Lutz?
The John Carl Lutz is situated at 148 Worcester St, in the city of West Boylston, state of MA, with the zip code 15831751.
What is John Carl Lutz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Carl Lutz is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699826172 to John Carl Lutz?
The Centers for Medicare & Medicaid Services assigned the 1699826172 to John Carl Lutz on 2007-01-13.
As of what date were the details related to John Carl Lutz most recently updated or revised?
The information pertaining to John Carl Lutz, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.