Doctor Name: | DR. JEFFREY MUNRO HUTTINGER |
NPI Number: | 1023225141 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 20042192A |
Business Practice Address: | 2740 S 7th St Terre Haute, IN - 478023559 |
Business Phone Number: | 8122356161 |
Business Fax Number: | 8122354565 |
Mailing Address: | 2740 S 7th St, TERRE HAUTE |
State: | IN |
Postal Code: | 478023559 |
Phone Number: | 8122356161 |
Fax Number: | 8122354565 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20042192A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |