Jacob Thomas Lutz, PHD

NPI #1164860052 in Fort Wayne, Indiana

Provider Information

NPI Number
1164860052
Entity Type
Individual
Name
Jacob Thomas Lutz, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Clinical Neuropsychologist
Credential
PHD
Enumeration Date
Jun 13, 2013
Last Updated
Jun 13, 2013

Practice Location

Address
11104 PARKVIEW CIRCLE DR STE 110
State
Indiana
ZIP Code
46845-1673
Phone
(260) 460-3203

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist

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