Provider Demographics
NPI:1295042273
Name:KUTI, BARBARA ELAINE
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELAINE
Last Name:KUTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 SUTHERLAND RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2414
Mailing Address - Country:US
Mailing Address - Phone:609-883-8904
Mailing Address - Fax:
Practice Address - Street 1:1901 N OLDEN AVENUE EXT STE 27
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-2111
Practice Address - Country:US
Practice Address - Phone:609-635-3751
Practice Address - Fax:609-288-7237
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-11
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
NJ37PC00307000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional