Individual
DR. LAUREN ALEXANDRA RUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 E 10TH ST, BLOOMINGTON, IN 47405-7007
(812) 856-9953
Mailing address
1101 E 10TH ST, BLOOMINGTON, IN 47405-7007
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
20043322B
IN
103TC0700X
Clinical Psychologist
Primary
20043322B
IN
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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