Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB THOMAS LUTZ, PHD
ActiveJACOB THOMAS LUTZ, PHD is a Clinical Neuropsychologist healthcare provider located in FORT WAYNE, Indiana. NPI 1164860052 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1164860052
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2013 (13.146545277751 yrs)
- Last Updated
- Jun 13, 2013
- License
-
20042679A (IN)
Practice Information
- Address
-
11104 PARKVIEW CIRCLE DR STE 110FORT WAYNE, IN, 468451673Browse IN providers · Browse ZIP 46845
- Phone
- 2604603203
- Fax
- 2604603271
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| FRANCES R. GOFF | PH.D. | 1780681254 |
| GREGORY SCOTT SOWLES | HSPP LMHC PHD | 1639182694 |
| DR. JOHN J BRINKMAN JR. | PH.D. | 1134241227 |
| DR. NIVONNE THOMPSON | PHD | 1841524105 |
| DR. CHRISTINA M. STEMMLER | PSYD | 1669701793 |
| DR. RENEE ELIZABETH BUSKIRK | PHD | 1619275807 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.