Individual
DR. DAVID J KUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2074 GALISTEO ST, A1, SANTA FE, NM 87505-2138
(505) 345-6100
(505) 345-4531
Mailing address
2074 GALISTEO ST, A1, SANTA FE, NM 87505-2138
(505) 345-6100
(505) 345-4531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1031
NM
103TC0700X
Clinical Psychologist
949
LA
Other
Enumeration date
01/02/2007
Last updated
01/12/2015
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