Lutz Center For Counseling And Assessment, Llc | |
3612 Quail Run Rd Gulf Breeze FL 32563-2836 | |
(850) 910-1806 | |
(866) 960-8806 |
Full Name | Lutz Center For Counseling And Assessment, Llc |
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Speciality | Psychologist - School |
Location | 3612 Quail Run Rd, Gulf Breeze, Florida |
Authorized Official Name and Position | Joshua A Lutz (OWNER) |
Authorized Official Contact | 8509101806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lutz Center For Counseling And Assessment, Llc 91 Bay Bridge Dr D Gulf Breeze FL 32561-4468 Ph: (850) 910-1806 | Lutz Center For Counseling And Assessment, Llc 3612 Quail Run Rd Gulf Breeze FL 32563-2836 Ph: (850) 910-1806 |
NPI Number | 1396055331 |
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Provider Enumeration Date | 10/08/2010 |
Last Update Date | 10/08/2010 |
Identifier | Type | State | Issuer |
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1396055331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TS0200X | Psychologist - School | SS795 (Florida) | Primary |
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