Thomas Robert Lutz
Clinical Child & Adolescent Psychologist Clinical Social Worker
1125 Ramsey St
Hastings
, Minnesota 55033-2811
Thomas Robert Lutz
Clinical Child & Adolescent Psychologist Clinical Social Worker
1125 Ramsey St
Hastings
, Minnesota 55033-2811
(651) 437-1511
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Thomas Robert Lutz
- 1125 Ramsey St
- Hastings, MN
- Zip : 55033-2811
- Phone : (651) 437-1511
Second Address
- Thomas Robert Lutz
- 1125 Ramsey St
- Hastings, MN
- Zip : 55033-2811
- Phone : (651) 437-1511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 2698 | MN |
| N | 1041C0700X | Clinical Social Worker | 651 | MN |
National Provider Identifier
| NPI | 1063725166 |
|---|---|
| Provider Name | Thomas Robert Lutz |
| First Address | Hastings, MN 55033-2811 |
| Second Address | Hastings, MN 55033-2811 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2010 |
| Last Update Date | 17/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.