Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH 4615 | FL |
NPI | 1003114950 |
---|---|
Provider Name | David T Tutton |
First Address | Naples, FL 34116-7536 |
Second Address | Naples, FL 34116-7536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2011 |
Last Update Date | 02/03/2011 |