Organization
STRESS CONTROL CENTER INC, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY V. BUTTS PHD (PRESIDENT)
(816) 561-5556
Entity
Organization
Contact information
Practice address
800 W 47TH ST STE 514, KANSAS CITY, MO 64112-1247
(816) 561-5556
(816) 756-3151
Mailing address
800 W 47TH ST STE 514, KANSAS CITY, MO 64112-1247
(816) 561-5556
(816) 756-3151
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
00020
MO
103TC0700X
Clinical Psychologist
Primary
00020
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003323B
MEDICARE PROVIDER NUMBER
MO
Enumeration date
01/27/2010
Last updated
01/27/2010
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