Provider Demographics
NPI:1265859813
Name:CUTTER, DEBORAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:CUTTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22055 CLARENDON ST STE 208
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6354
Mailing Address - Country:US
Mailing Address - Phone:818-932-9644
Mailing Address - Fax:818-932-8997
Practice Address - Street 1:22055 CLARENDON ST STE 208
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6354
Practice Address - Country:US
Practice Address - Phone:818-932-9644
Practice Address - Fax:818-932-8997
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20335103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical