National Provider Identifier
Holly Beth Mutton, D.O.
Holly Beth Mutton, D.O. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 898-4535.
Profile Overview
- NPI
- 1962431601
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- July 03, 2006
- Last Updated
- October 10, 2014
Practice Location
- 462 Grider St, Ecmc, Room 1168
- Buffalo, NY 14215-3021
Phone: (716) 898-4535
Mailing Address
- 108 Old Meadow Dr
- East Amherst, NY 14051-2402
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1962431601
- Entity Type
- Individual
- Last Name
- Mutton
- First Name
- Holly
- Middle Name
- Beth
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 108 Old Meadow Dr
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-2402
- Mailing Country
- US
- Mailing Phone
- (716) 689-4573
- Practice Street Address
- 462 Grider St, Ecmc, Room 1168
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-4535
- Practice Fax
- (716) 898-4538
- Enumeration Date
- July 03, 2006
- Last Updated
- October 10, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)