MEDICARE: MS. ANNE HEATH TUTTLE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	39979	TX

General Provider Information

NPI Number	:	1942594734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE HEATH TUTTLE LCSW

Provider Business Mailing Address
First Line	:	7113 SAN PEDRO AVE # 301
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6219
Country	:	US
Telephone Number	:	210-960-1695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 OBLATE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6856
Country	:	US
Telephone Number	:	210-960-1695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2011
Last Update Date	:	09/07/2022

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