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DR. MARTIN F LUTHKE PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1356401400
Individual Registrant:DR. MARTIN F LUTHKE PH.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
10022 BELL RD NEWBURY, OH 44065-9112 US
Tel: 440-564-1496 Fax: 440-564-1496
Tel: 440-564-1496 Fax: 440-564-1496
Contact information for business:
10022 BELL RD NEWBURY, OH 44065-9112 US
Tel: 440-564-1496 Fax: 440-564-1496
Tel: 440-564-1496 Fax: 440-564-1496
Registration Information:
NPI: 1356401400
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | OH | 4620 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
