| Doctor Name: | MR. JOSHUA ANTHONY LUTZ |
| NPI Number: | 1114158227 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED,S, NCSP |
| License Number: | SS795 |
| Business Practice Address: | 91 Bay Bridge Dr Suite D Gulf Breeze, FL - 325614468 |
| Business Phone Number: | 8669608806 |
| Business Fax Number: | 8669608806 |
| Mailing Address: | 91 Bay Bridge Dr, Suite D GULF BREEZE |
| State: | FL |
| Postal Code: | 325614468 |
| Phone Number: | 8669608806 |
| Fax Number: | 8669608806 |
| NPI Enumeration Date: | 08/06/2009 |
| NPI Last Update Date: | 12/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | SS795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |