Provider Demographics
NPI:1043734841
Name:NUTTER, DAVID L (MA/MFT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:NUTTER
Suffix:
Gender:M
Credentials:MA/MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N MALL DR STE VW101
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7337
Mailing Address - Country:US
Mailing Address - Phone:435-225-6566
Mailing Address - Fax:
Practice Address - Street 1:321 N MALL DR STE VW101
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7337
Practice Address - Country:US
Practice Address - Phone:435-225-6566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9719293-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist