Healthcare Provider Details

I. General information

NPI: 1114864212
Provider Name (Legal Business Name): AMI KUTTLER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMI FLAM KUTTLER PHD

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 SHERIDAN ST STE 400
HOLLYWOOD FL
33021-3409
US

IV. Provider business mailing address

4600 SHERIDAN ST STE 400
HOLLYWOOD FL
33021-3409
US

V. Phone/Fax

Practice location:
  • Phone: 954-881-1211
  • Fax: 954-983-8307
Mailing address:
  • Phone: 954-881-1211
  • Fax: 954-983-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY6538
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: