Provider Demographics
NPI:1609927052
Name:DUTTON, JUDITH E (MS)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:E
Last Name:DUTTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MASSACHUSETTS ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2344
Mailing Address - Country:US
Mailing Address - Phone:785-331-2600
Mailing Address - Fax:
Practice Address - Street 1:700 MASSACHUSETTS ST
Practice Address - Street 2:SUITE 211
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2344
Practice Address - Country:US
Practice Address - Phone:785-331-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS165101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional