Tuta, Kathleen Mary
Tuta, Kathleen Mary is an sole proprietor health care provider with primary practice located at 3445 Yellowstone Dr , Ann Arbor MI 48105-1503. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tuta, Kathleen Mary can be contacted via phone (734) 646-9026.Contact Information
Primary practice address
3445 Yellowstone Dr
Ann Arbor MI 48105-1503
Phone: (734) 646-9026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301005774 | Michigan |
Profile Details
| NPI number | 1275571366 |
|---|---|
| LBN Legal business name | Tuta, Kathleen Mary |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Apr 29th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275571366 | NPPES |
| Other | 11290827 | CAQH PROVIDER ID | |
| Other | 680H146480 | CAQH PROVIDER ID |
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