Provider Demographics
NPI:1346795457
Name:TUTHS, PHILIP (MED LMHC)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:TUTHS
Suffix:
Gender:M
Credentials:MED LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-2420
Mailing Address - Country:US
Mailing Address - Phone:508-736-9763
Mailing Address - Fax:
Practice Address - Street 1:117 SPRING ST
Practice Address - Street 2:
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-2420
Practice Address - Country:US
Practice Address - Phone:508-736-9763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health