Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | AZ 1008 | AZ |
Y | 103TC0700X | Clinical Psychologist | AZ 1008 | AZ |
NPI | 1013076124 |
---|---|
Provider Name | Maureen Jane Hutter |
First Address | Tucson, AZ 85718-4852 |
Second Address | Tucson, AZ 85718-5744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 08/07/2007 |