IndividualActive
Samuel Dutton, PH.D., M.P.
NPI 1962476424 · Prescribing (Medical) Psychologist · Jbphh, HI
Provider details
- NPI number
- 1962476424
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., M.P.
- Sex
- Male
- Sole proprietor
- No
- License
- MP.16 (LA)
Mailing address
480 Central Ave
Jbphh, HI 96860-4908
Registry dates
- Enumerated
- 2006-02-13
- Last updated
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.