| Doctor Name: | WILLIAM R LUTZ |
| NPI Number: | 1457687568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMFT |
| License Number: | 37FI00047900 |
| Business Practice Address: | 183 Inwood Ave Upper Montclair, NJ - 070431908 |
| Business Phone Number: | 9737836977 |
| Business Fax Number: | |
| Mailing Address: | 526 Highland Ave, UPPER MONTCLAIR |
| State: | NJ |
| Postal Code: | 070431204 |
| Phone Number: | 9737461885 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2009 |
| NPI Last Update Date: | 10/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 37FI00047900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |