Individual
WILLIAM J STURTEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2 EAST TILDEN, BROWNSBURG, IN 46112-1648
(317) 852-8585
Mailing address
5310 WARD ROAD, SUITE 106, ARVADA, CO 80002-1829
(303) 278-7418
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040306A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232186
ANTHEM
IN
05
—
20224870A
—
IN
01
—
680010869
RAILROAD
IN
Enumeration date
06/18/2006
Last updated
11/04/2010
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