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Individual

DR. BRYAN R MCNUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D, LMFT

Contact information

Practice address
2214 5TH AVE, SAN DIEGO, CA 92101-2104
(619) 540-6560
Mailing address
2214 5TH AVE, SAN DIEGO, CA 92101-2104
(619) 540-6560

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28897
CA
106H00000X
Marriage & Family Therapist
MFC52348
CA

Other

Enumeration date
12/02/2010
Last updated
01/01/2017
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