| Doctor Name: | DR. LAURA DIANE KUTERBACH |
| NPI Number: | 1477601193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS015463 |
| Business Practice Address: | 1633 Philipsburg Bigler Hwy Cen-clear Child Services, Inc. Philipsburg, PA - 168668112 |
| Business Phone Number: | 8143425845 |
| Business Fax Number: | |
| Mailing Address: | Po Box 459, MILESBURG |
| State: | PA |
| Postal Code: | 168530459 |
| Phone Number: | 8143554605 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | PS015463 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |