Healthcare Provider Details

I. General information

NPI: 1578471348
Provider Name (Legal Business Name): DR. STELLA WUTTKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 COTTAGE GROVE AVE STE A
SANTA BARBARA CA
93101-3450
US

IV. Provider business mailing address

212 COTTAGE GROVE AVE STE A
SANTA BARBARA CA
93101-3450
US

V. Phone/Fax

Practice location:
  • Phone: 805-705-0052
  • Fax:
Mailing address:
  • Phone: 805-705-0052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: