Individual
DR. STANLEY VERNON BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
800 W 47TH ST, SUITE 514, KANSAS CITY, MO 64112-1251
(816) 561-5556
(816) 756-3151
Mailing address
800 W 47TH ST, SUITE 514, KANSAS CITY, MO 64112-1251
(816) 561-5556
(816) 756-3151
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
KS205
KS
103G00000X
Clinical Neuropsychologist
MO00020
MO
103T00000X
Psychologist
KS205
KS
103T00000X
Psychologist
Primary
MO00020
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02602026
BCBS
MO
01
—
505332
BCBS
KS
Enumeration date
08/25/2005
Last updated
12/20/2010
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