Individual
DR. JOHN CARL LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
148 WORCESTER ST, WEST BOYLSTON, MA 01583-1751
(508) 835-1735
(508) 835-1736
Mailing address
148 WORCESTER ST, WEST BOYLSTON, MA 01583-1751
(508) 835-1735
(508) 835-1736
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7517
MA
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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