Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PY0591 | NV |
N | 103TC0700X | Clinical Psychologist | PY0591 | NV |
N | 102L00000X | Psychologist | PY0591 | NV |
N | 103T00000X | Psychologist | PY0591 | NV |
N | 102L00000X | Psychologist | PY4623 | FL |
N | 103T00000X | Psychologist | PY4623 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY4623 | FL |
Y | 103G00000X | Clinical Psychologist | PY4623 | FL |
Y | 103TC0700X | Clinical Psychologist | PY4623 | FL |
N | 103TF0200X | Forensic Psychologist | PY4623 | FL |
NPI | 1093763161 |
---|---|
Provider Name | Dr. Robert Alan Kutner |
First Address | North Las Vegas, NV 89031-4416 |
Second Address | North Las Vegas, NV 89031-4416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 11/06/2019 |