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Organization
SHANE P HUTTON PHD A PROFESSIONAL PSYCHOLOGIST CORPORATION
Active
Organization
SHANE P HUTTON PHD A PROFESSIONAL PSYCHOLOGIST CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE P HUTTON (PROVIDER/PRESIDENT)
(818) 569-9440
Entity
Organization
Contact information
Practice address
9444 REVERIE RD, TUJUNGA, CA 91042-3024
(818) 569-9440
Mailing address
9444 REVERIE RD, TUJUNGA, CA 91042-3024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23919
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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