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Organization
SH SQUARED CARES
Active
Organization
SH SQUARED CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY LYNN HUTTON PHD (PARTNER)
(805) 369-2239
Entity
Organization
Contact information
Practice address
212 S MAIN ST STE 202, TEMPLETON, CA 93465-9350
(058) 369-2239
Mailing address
212 S MAIN ST STE 202, TEMPLETON, CA 93465-9350
(058) 369-2239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28777
CA
235Z00000X
Speech-Language Pathologist
SP25805
CA
Other
Enumeration date
05/17/2018
Last updated
11/04/2021
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