Individual
MICHAEL L STUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
825 FAIRFAX AVE STE 710, NORFOLK, VA 23507-1914
(757) 446-5888
(757) 446-5918
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8400
(757) 446-8401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
08010001340
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-006
TRICARE/CHAMPUS
VA
01
—
000496
VALUE OPTIONS
VA
05
—
007700245
—
VA
01
—
0367K
BC/BS
NC
01
—
081903
ANTHEM
VA
01
—
215684
UNITED HEALTH CARE/MAMSI
VA
01
—
255618
MAGELLAN HEALTH SERVICES
VA
01
—
343838
MANAGED HEALTH NETWORK
VA
01
—
88854
SENTARA/OPTIMA
VA
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
03/03/2006
Last updated
12/29/2017
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