Provider Demographics
NPI:1497892939
Name:CUTLER, KAREN BETH (LAC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BETH
Last Name:CUTLER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 DWIGHT WAY
Mailing Address - Street 2:SUITE 204 205
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704
Mailing Address - Country:US
Mailing Address - Phone:510-654-3873
Mailing Address - Fax:510-644-1294
Practice Address - Street 1:2006 DWIGHT WAY
Practice Address - Street 2:SUITE 204 205
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704
Practice Address - Country:US
Practice Address - Phone:510-654-3873
Practice Address - Fax:510-644-1294
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4754171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist