Individual
DR. MICHAEL JOHN KUTTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
990 SOUTH AVE, SUITE 210, ROCHESTER, NY 14620-2740
(585) 256-3440
Mailing address
448 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1608
(585) 256-3440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100295AH
PREFERRED CARE
NY
01
—
111980500
US DEPT OF LABOR
NY
01
—
P010009564
BLUE CHOICE
NY
01
—
P010009564
BLUE X/BLUE SHIELD
—
Enumeration date
06/25/2006
Last updated
04/28/2016
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