| Doctor Name: | MICHAEL L STUTTS |
| NPI Number: | 1003883406 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 08010001340 |
| Business Practice Address: | 721 Fairfax Ave Suite 461 Norfolk, VA - 235072007 |
| Business Phone Number: | 7574468400 |
| Business Fax Number: | 7574468401 |
| Mailing Address: | Po Box 936, NORFOLK |
| State: | VA |
| Postal Code: | 235010936 |
| Phone Number: | 7574468400 |
| Fax Number: | 7574468401 |
| NPI Enumeration Date: | 03/03/2006 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 08010001340 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |