Jacob Thomas Lutz, PhD
Clinical Neuropsychologist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1164860052
StatusActive
Last updated in NPPESJun 13, 2013
Details
- NPI
- 1164860052
- Entity type
- Individual (NPI-1)
- Name
- Jacob Thomas Lutz
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2013
- Last updated
- Jun 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 20042679A | IN | Yes |
Practice location
11104 Parkview Circle Dr Ste 110Fort Wayne, IN 46845-1673
Phone 260-460-3203 · Fax 260-460-3271
Mailing address
11104 Parkview Circle Dr Ste 110Fort Wayne, IN 46845-1673
Phone 260-460-3203 · Fax 260-460-3271
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Neuropsychologist providers in Fort Wayne, IN
- Allied Physicians INCNPI 1366433369
- Allied Physicians INCNPI 1689995334
- Allied Physicians INCNPI 1205098100
- Allied Physicians INCNPI 1649478744
- Dr. John J Brinkman Jr., Ph.D.NPI 1134241227
- Dr. Renee Elizabeth Buskirk, PhDNPI 1619275807
- Family Care CenterNPI 1407877657
- Fort Wayne Neuropsychology LLCNPI 1871032862
- Frances R. Goff, Ph.D.NPI 1780681254
- Erin Miles, PysDNPI 1699196519
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.