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Individual

DR. MARK EUGENE SCHUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
300 HILLCREST DR, LARNED STATE HOSPITAL, LARNED, KS 67550-4000
(620) 285-5806
Mailing address
300 HILLCREST DR, LARNED STATE HOSPITAL, LARNED, KS 67550-4000
(620) 285-5806

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1170
KS
103TC0700X
Clinical Psychologist
431
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1170
PSYCHOLOGY LICENSE
KS
01
431
PSYCHOLOGY LICENSE
NE
Enumeration date
06/03/2009
Last updated
06/03/2009
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