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Organization
ROBERT DUTILE
Active
Organization
ROBERT DUTILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUTILE PH.D (OWNER)
(562) 682-8060
Entity
Organization
Contact information
Practice address
444 W OCEAN BLVD FL 8, LONG BEACH, CA 90802-4518
(562) 682-8060
Mailing address
444 W OCEAN BLVD FL 8, LONG BEACH, CA 90802-4518
(562) 682-8060
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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