Individual
PATRICIA SUTKER
Active
Individual
PATRICIA SUTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
31322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68843
PRESBYTERIAN COMMERCIAL
NM
05
—
68843
—
NM
05
—
77748
—
NM
01
—
84154Z
HMO BLUE
TX
01
—
87119A
BC/BS
TX
01
—
A545
TRIWEST
NM
Enumeration date
12/20/2005
Last updated
07/16/2007
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