Doctor Name: | JAMES A LUTZ |
NPI Number: | 1134162415 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW QCSW |
License Number: | CW014160 |
Business Practice Address: | 727 Welsh Road Ste 202 Huntingdon Valley, PA - 19006 |
Business Phone Number: | 2159142119 |
Business Fax Number: | 2159141663 |
Mailing Address: | 727 Welsh Road, Ste 202 HUNTINGDON VALLEY |
State: | PA |
Postal Code: | 19006 |
Phone Number: | 2159142119 |
Fax Number: | 2159141663 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CW014160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |