Active NPIIndividual provider

Dr. John C Lutz, PSYD

Psychologist, Clinical Child & Adolescent in West Boylston, Massachusetts

NPI Number1699826172
Practice location
148 Worcester St, West Boylston, MA 01583-1751
Fax
508-835-1736
Last updated
July 8, 2007

John Carl Lutz is a Psychologist, Clinical Child & Adolescent based in West Boylston, MA. John Carl Lutz practices in West Boylston, MA and has the professional credentials of PSYD. The NPI Number for John Carl Lutz is 1699826172 and holds a License No. 7517 (MA). The current practice location address for John Carl Lutz is 148 Worcester St, West Boylston, MA 01583-1751 and can be reached out via phone at 508-835-1735 and via fax at 508-835-1736.

Provider Profile Details

NPI Number
1699826172
Provider Name
John Carl Lutz
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
148 Worcester St, West Boylston, MA 01583-1751
Phone Number
508-835-1735
Fax Number
508-835-1736
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
No
Provider Enumeration Date
January 13, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
148 Worcester St
West Boylston, MA 01583-1751
Zip
01583-1751
Phone Number
508-835-1735
Fax Number
508-835-1736
West Boylston, MA 01583Get directions →

Provider Business Mailing Address Details

Address
148 Worcester St
West Boylston, MA 01583-1751
City
West Boylston
State
MA
Zip
01583-1751
Phone Number
508-835-1735
Fax Number
508-835-1736

License Information

License Number
7517
License State
MA
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John C Lutz, PSYD?

The NPI number of Dr. John C Lutz, PSYD is 1699826172. It was assigned on January 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. John C Lutz, PSYD?

Dr. John C Lutz, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 7517.

Where does Dr. John C Lutz, PSYD practice?

The practice location is 148 Worcester St, West Boylston, MA 01583-1751. The office can be reached at 508-835-1735 (phone) or 508-835-1736 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699826172 directly on the NPPES registry website.

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