Individual
DONALD CLUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
212 CARMEN LN, SANTA MARIA, CA 93458-7769
(805) 205-7680
Mailing address
765 MESA VIEW DR, # 240, ARROYO GRANDE, CA 93420-5548
(760) 694-7409
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT15664
CA
374700000X
Technician
PT15664
CA
Other
Enumeration date
01/18/2013
Last updated
08/16/2024
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