Provider Demographics
NPI:1750401329
Name:SAUTTER, LORETTA REGINA (MFT)
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:REGINA
Last Name:SAUTTER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:SAUTTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:170 COPELAND ST
Mailing Address - Street 2:#305
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4748
Mailing Address - Country:US
Mailing Address - Phone:617-770-1562
Mailing Address - Fax:
Practice Address - Street 1:13 TEMPLE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5110
Practice Address - Country:US
Practice Address - Phone:617-471-8400
Practice Address - Fax:617-376-8910
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health