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Individual

PHILIP D SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
595 CANYON BLVD, BOULDER, CO 80302-5029
(303) 258-7582
Mailing address
PO BOX 1781, NEDERLAND, CO 80466-1781
(303) 258-7582
(303) 444-7371

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
817
CO

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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