Individual
MR. JOSHUA ANTHONY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED,S, NCSP
Contact information
Practice address
91 BAY BRIDGE DR, SUITE D, GULF BREEZE, FL 32561-4468
(866) 960-8806
(866) 960-8806
Mailing address
91 BAY BRIDGE DR, SUITE D, GULF BREEZE, FL 32561-4468
(866) 960-8806
(866) 960-8806
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11997743
CAQH
FL
Enumeration date
08/06/2009
Last updated
12/03/2009
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