Individual
DR. SAMUEL S DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.P.
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-0650
Mailing address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 476-0650
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP.16
LA
Other
Enumeration date
02/13/2006
Last updated
11/14/2022
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