| Steven B. Kutash, Psy.d., Pllc | |
|
1030 Centre Ave Suite B Fort Collins CO 80526-1849 | |
| (970) 568-6323 | |
| (970) 305-8322 |
| Full Name | Steven B. Kutash, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1030 Centre Ave, Fort Collins, Colorado |
| Authorized Official Name and Position | Steven Brant Kutash (MANAGING MEMBER) |
| Authorized Official Contact | 9705686323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven B. Kutash, Psy.d., Pllc 1030 Centre Ave Suite B Fort Collins CO 80526-1849 Ph: (970) 568-6323 | Steven B. Kutash, Psy.d., Pllc 1030 Centre Ave Suite B Fort Collins CO 80526-1849 Ph: (970) 568-6323 |
| NPI Number | 1306233721 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 07/31/2015 |
| Medicare PECOS PAC ID | 3173831773 |
|---|---|
| Medicare Enrollment ID | O20151001000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306233721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven Brant Kutash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326272816 PECOS PAC ID: 7214259118 Enrollment ID: I20151001000527 |
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