Michael L Stutts
Clinical Psychologist
825 Fairfax Ave Ste 710
Norfolk
, Virginia 23507-1914
Michael L Stutts
Clinical Psychologist
825 Fairfax Ave Ste 710
Norfolk
, Virginia 23507-1914
(757) 446-8401
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Michael L Stutts
- Po Box 936
- Norfolk, VA
- Zip : 23501-0936
- Fax : (757) 446-8401
- Phone : (757) 446-8400
Second Address
- Michael L Stutts
- 825 Fairfax Ave Ste 710
- Norfolk, VA
- Zip : 23507-1914
- Fax : (757) 446-5918
- Phone : (757) 446-5888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 08010001340 | VA |
| Y | 103TC0700X | Clinical Psychologist | 08010001340 | VA |
National Provider Identifier
| NPI | 1003883406 |
|---|---|
| Provider Name | Michael L Stutts |
| First Address | Norfolk, VA 23501-0936 |
| Second Address | Norfolk, VA 23507-1914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2006 |
| Last Update Date | 29/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000496 | VALUE OPTIONS (01) | VA |
| -006 | TRICARE/CHAMPUS (01) | VA |
| 007700245 | (05) | VA |
| 0367K | BC/BS (01) | NC |
| 081903 | ANTHEM (01) | VA |
| 215684 | UNITED HEALTH CARE/MAMSI (01) | VA |
| 255618 | MAGELLAN HEALTH SERVICES (01) | VA |
| 343838 | MANAGED HEALTH NETWORK (01) | VA |
| 88854 | SENTARA/OPTIMA (01) | VA |
| PAR | AETNA (01) | VA |
| PAR | CORVEL/CORCARE (01) | VA |
| PAR | FIRST HEALTH COMMERCIAL (01) | VA |
| PAR | MULTIPLAN (01) | VA |
| PAR | USA MANAGED CARE (01) | VA |
| PAR | VIRGINIA HEALTH NETWORK (01) | VA |
| PAR | VIRGINIA PREMIER HEALTH (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.