Provider Demographics
NPI:1710261235
Name:LUTTINGER, HILARY JOYCE (PSYD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:JOYCE
Last Name:LUTTINGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 VICTOR DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6349
Mailing Address - Country:US
Mailing Address - Phone:845-913-5513
Mailing Address - Fax:
Practice Address - Street 1:1131 ROUTE 55
Practice Address - Street 2:STE 1D
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-5063
Practice Address - Country:US
Practice Address - Phone:845-913-5513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019093103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical