DR. JEFFREY GLENN RUTTER (NPI# 1306118948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306118948 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY GLENN RUTTER |
| Credential | PSY.D. |
| Practice Address |
524 College St Clarksville TN 37040-3255 |
| Mailing Address |
Po Box 4564 Clarksville TN 37044-0001 |
| Practice Telephone | 9312216162 |
| Enumeration Date | 2012-01-28 |
| Last Update Date | 2017-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3270 | TN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2509 | CO | Behavioral Health & Social Service Providers |
| Street Address |
524 COLLEGE ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033586748 | Dannie Harris | Psychologist | 1064 S Riverside Dr Ste D, Clarksville, TN 37040-4746 | 2015-08-28 |
| 1841687456 | Brighter Day Health LLC | Psychologist | 840 Glastonbury Ct, Clarksville, TN 37043-5944 | 2015-04-21 |
| 1336406016 | Dr. E. Mcpherson Botts, Psy.d. | Psychologist | 399 Dover Rd Unit B, Clarksville, TN 37042 | 2012-04-18 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1497908859 | Elizabeth Mcpherson Botts | Psychologist | 399 Dover Rd, Clarksville, TN 37042-4133 | 2008-10-29 |
| 1417977802 | Janice Dianne Martin | Psychologist | 1891 Old Trenton Road, Clarksville, TN 37040 | 2006-07-20 |
| 1093758591 | Keith William Hannan | Psychologist | 12037 Floating Clouds Path, Clarksville, MD 21029-1678 | 2006-06-13 |
| 1245210475 | Suzanne Michelle Guerzon | Psychologist | 12840 Brighton Dam Rd, Clarksville, MD 21029-1412 | 2006-01-23 |
| 1992706022 | Denise L Squire | Psychologist | 200 Commerce Street, Suite E, Clarksville, TN 37040 | 2005-08-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on DR. JEFFREY GLENN RUTTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.