Doctor Name: | DR. DOROTHY ANN SAUTTER |
NPI Number: | 1760568646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYCHOLOGIST |
License Number: | PC002559 |
Business Practice Address: | 4043 Glade Drive Pocono Summit, PA - 19146 |
Business Phone Number: | 5706466751 |
Business Fax Number: | |
Mailing Address: | P.o. Box 957, 4043 Glade Drive POCONO SUMMIT |
State: | PA |
Postal Code: | 19146 |
Phone Number: | 5706466751 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PC002559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |