Provider Demographics
NPI:1932641214
Name:STUTLER, MEGAN ANN ELIZABETH (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ANN ELIZABETH
Last Name:STUTLER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 LIVE OAK BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4028
Mailing Address - Country:US
Mailing Address - Phone:530-441-6983
Mailing Address - Fax:530-441-6984
Practice Address - Street 1:1002 LIVE OAK BLVD STE D
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4028
Practice Address - Country:US
Practice Address - Phone:530-441-6983
Practice Address - Fax:530-441-6984
Is Sole Proprietor?:No
Enumeration Date:2016-11-17
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA116437106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist