Provider Demographics
NPI:1922020817
Name:D GREG NUTE PHD RPT-S INC.
Entity Type:Organization
Organization Name:D GREG NUTE PHD RPT-S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GREG
Authorized Official - Last Name:NUTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, LPC,RPT-S
Authorized Official - Phone:407-797-2164
Mailing Address - Street 1:631 PALM SPRINGS DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7854
Mailing Address - Country:US
Mailing Address - Phone:407-339-0604
Mailing Address - Fax:407-339-2256
Practice Address - Street 1:631 PALM SPRINGS DR
Practice Address - Street 2:SUITE 107
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7854
Practice Address - Country:US
Practice Address - Phone:407-339-0604
Practice Address - Fax:407-339-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6523101YM0800X
FLCPY0221010400NOSTATE103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty