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
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-1673
- Phone
- (260) 460-3203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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