Lutzo, Mary Depaolis

Lutzo, Mary Depaolis is an sole proprietor health care provider with primary practice located at 7628 Massachusetts Ave Richey Lakes Plaza, New Port Richey FL 34653-3022. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lutzo, Mary Depaolis can be contacted via phone (727) 848-5683.

Contact Information

Primary practice address
7628 Massachusetts Ave Richey Lakes Plaza New Port Richey FL 34653-3022
Phone: (727) 848-5683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7808 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2814872 Florida

Profile Details

NPI number 1134114937
LBN Legal business name Lutzo, Mary Depaolis
Credentials PH.D., L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2005
Last updated Nov 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134114937 NPPES
Florida MEDICAID 311743000
Florida Other 201160353

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