Individual
WILLIAM LEE STUTTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2127 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 742-9555
(334) 742-0668
Mailing address
2127 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 742-9555
(334) 742-0668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
671
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00074334
—
AL
01
—
51506020
FEDERAL BLUE CROSS
—
01
—
74334
BLUE CROSS
AL
Enumeration date
10/07/2005
Last updated
07/08/2007
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