Provider Demographics
NPI:1043837487
Name:STUTZMAN, KERRY LYNN (LMFT, MSW)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:LYNN
Last Name:STUTZMAN
Suffix:
Gender:F
Credentials:LMFT, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 S YOSEMITE ST STE 1050
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1852
Mailing Address - Country:US
Mailing Address - Phone:303-770-4667
Mailing Address - Fax:
Practice Address - Street 1:3600 S YOSEMITE ST STE 1050
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1852
Practice Address - Country:US
Practice Address - Phone:303-770-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0001120106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist