Individual
ALISON LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3054 ENTERPRISE DR, STATE COLLEGE, PA 16801-2755
(814) 234-6023
Mailing address
3054 ENTERPRISE DR, STATE COLLEGE, PA 16801-2755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010135
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026012270001
—
PA
Enumeration date
05/27/2011
Last updated
06/14/2016
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