Individual
DR. JEFFREY GLENN RUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
524 COLLEGE ST, CLARKSVILLE, TN 37040-3255
(931) 221-6162
Mailing address
PO BOX 4564, CLARKSVILLE, TN 37044-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2509
CO
103TC0700X
Clinical Psychologist
Primary
3270
TN
Other
Enumeration date
01/28/2012
Last updated
05/31/2017
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