Doctor Name: | KRISTIN B LUTZ |
NPI Number: | 1053591206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL008323 |
Business Practice Address: | 204 Cameron Dr Douglassville, PA - 195188720 |
Business Phone Number: | 4845299663 |
Business Fax Number: | |
Mailing Address: | 216 Hickory Dr, FLEETWOOD |
State: | PA |
Postal Code: | 195221624 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/05/2007 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |