Basic Information
Provider Information
NPI: 1295783512
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUTLIP
FirstName: WILLIAM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
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Mailing Information
Address1: 100 NEW SALEM RD
Address2: SUITE 116
City: UNIONTOWN
State: PA
PostalCode: 154018936
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 331 SHAW AVE
Address2:  
City: MCKEESPORT
State: PA
PostalCode: 151322918
CountryCode: US
TelephoneNumber: 4126758855
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/05/2006
LastUpdateDate: 03/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XMD-072111-LPAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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