Healthcare Provider Details

I. General information

NPI: 1619389780
Provider Name (Legal Business Name): SABRINA A. STUTZ M.A., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2014
Last Update Date: 02/11/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 N ST STE 5306
SACRAMENTO CA
95816-5712
US

IV. Provider business mailing address

2108 N ST STE 5306
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 949-541-7972
  • Fax:
Mailing address:
  • Phone: 949-541-7972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY28403
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: