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NPI Code Detail

MEDICARE: MRS. MEGAN ANN ELIZABETH STUTLER MA, LMFT

MEDICARE: MRS. MEGAN ANN ELIZABETH STUTLER MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist
2106H00000XMarriage & Family Therapist116437CA

General Provider Information

NPI Number : 1932641214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN ANN ELIZABETH STUTLER MA, LMFT
Provider Business Mailing Address
First Line : 1002 LIVE OAK BLVD STE D
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-4028
Country : US
Telephone Number : 530-441-6983
Fax Number : 530-441-6984
Provider Business Practice Location Address
First Line : 1002 LIVE OAK BLVD STE D
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-4028
Country : US
Telephone Number : 530-441-6983
Fax Number : 530-441-6984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2016
Last Update Date : 09/08/2020

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