Provider Demographics
NPI:1124241518
Name:CUTILLO, DENISE (MS)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:CUTILLO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 CHRISTINE DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1516
Mailing Address - Country:US
Mailing Address - Phone:610-321-9696
Mailing Address - Fax:610-458-9567
Practice Address - Street 1:129 CHRISTINE DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1516
Practice Address - Country:US
Practice Address - Phone:610-321-9696
Practice Address - Fax:610-458-9567
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS