Individual
MICHAEL L STUTTS
Active
Individual
MICHAEL L STUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
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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