Provider Demographics
NPI:1164536736
Name:LUZ, ARTHUR JOHN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOHN
Last Name:LUZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30665 NORTHWESTERN HWY.
Mailing Address - Street 2:STE 255
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3299
Mailing Address - Country:US
Mailing Address - Phone:248-254-3240
Mailing Address - Fax:248-254-3333
Practice Address - Street 1:30665 NORTHWESTERN HWY.
Practice Address - Street 2:STE 255
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3299
Practice Address - Country:US
Practice Address - Phone:248-254-3240
Practice Address - Fax:248-254-3333
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007317103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIR67941Medicare UPIN
MIOM18840Medicare ID - Type Unspecified