Individual
DONALD CLUTTER
Active
Individual
DONALD CLUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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