Individual
DR. LAURA DIANE KUTERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1633 PHILIPSBURG BIGLER HWY, CEN-CLEAR CHILD SERVICES, INC., PHILIPSBURG, PA 16866-8112
(814) 342-5845
Mailing address
PO BOX 459, MILESBURG, PA 16853-0459
(814) 355-4605
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PS015463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KU1916356
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
01/08/2007
Last updated
07/08/2007
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