Individual
KENNETH C. TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7147
(801) 357-7191
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7147
(801) 357-7191
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1091222501
UT
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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