Individual
BETH M LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
7616 CURRELL BLVD STE 190, WOODBURY, MN 55125-8202
(651) 439-2059
(888) 675-8262
Mailing address
1751 TOWER DR W STE 200, STILLWATER, MN 55082-7596
(651) 439-2059
(888) 675-8262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5483
MN
103TC0700X
Clinical Psychologist
LP5483
MN
Other
Enumeration date
12/22/2009
Last updated
05/14/2019
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