Provider Demographics
NPI:1821384629
Name:SUTTER, RICHARD DANIEL (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DANIEL
Last Name:SUTTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 E WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:MA
Mailing Address - Zip Code:01270-9607
Mailing Address - Country:US
Mailing Address - Phone:413-347-0366
Mailing Address - Fax:
Practice Address - Street 1:975 E WINDSOR RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:MA
Practice Address - Zip Code:01270-9607
Practice Address - Country:US
Practice Address - Phone:413-347-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8310103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist