DR. SAMUEL S DUTTON PH.D., M.P.
NPI 1962476424
Psychologist - Prescribing (Medical) in Jbphh, HI
- Individual
- Male
- Psychologist
- Prescribing (Medical)
About SAMUEL DUTTON
This page provides the complete NPI Profile along with additional information for Samuel Dutton, a provider established in Jbphh, Hawaii with a medical specialization in Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1962476424 assigned on February 2006. The practitioner's primary taxonomy code is 103TP0016X with license number MP.16 (LA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1962476424 Verify this NPI
- Provider Name
- DR. SAMUEL S DUTTON PH.D., M.P.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 480 CENTRAL AVE JBPHH, HI 96860
- Location Phone
- (808) 473-0650
- Mailing Address
- 480 CENTRAL AVE JBPHH, HI 96860
- Mailing Phone
- (808) 476-0650
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-13-2006
- Last Update Date
- 11-14-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MP.16
- License State
- LA
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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Other Providers at the Same Location
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PEARL HARBOR, HI 96860
PEARL HARBOR, HI 96860
PEARL HARBOR, HI 96860
PEARL HARBOR, HI 96860
PEARL HARBOR, HI 96860
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962476424, enumerated as an "individual" on February 13, 2006.
The provider is located at 480 CENTRAL AVE JBPHH, HI 96860 and the phone number is (808) 473-0650.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
