Provider Demographics
NPI:1861543241
Name:LUTZ, BARBARA CHRISTINE (MFT)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:CHRISTINE
Last Name:LUTZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 CENTENNIAL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-6002
Mailing Address - Country:US
Mailing Address - Phone:831-457-1301
Mailing Address - Fax:831-457-1301
Practice Address - Street 1:240 WESTGATE DR STE 125
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2453
Practice Address - Country:US
Practice Address - Phone:831-425-3339
Practice Address - Fax:130-183-1457
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist