Individual
DR. THEODORE MICHAEL HUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
760 WESTWOOD PLZ, RM 68-237, LOS ANGELES, CA 90095-1759
(310) 825-8866
(310) 825-2682
Mailing address
760 WESTWOOD PLZ, RM 68-237, LOS ANGELES, CA 90095-1759
(310) 825-8866
(310) 825-2682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
25204
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
25204
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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