Organization
MATTHEW HUTT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MARTIN HUTT PSYCHOLOGIST (OWNER)
(308) 632-8080
Entity
Organization
Contact information
Practice address
2208 BROADWAY, SCOTTSBLUFF, NE 69361-1970
(308) 632-8080
(308) 632-8084
Mailing address
2208 BROADWAY, SCOTTSBLUFF, NE 69361-1970
(308) 632-8080
(308) 632-8084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9244
NE
103T00000X
Psychologist
Primary
331
NE
103T00000X
Psychologist
393
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025917000
—
NE
Enumeration date
01/04/2011
Last updated
01/04/2011
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