Provider Demographics
NPI:1700252343
Name:STUTO, BECKY
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:STUTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 A ST STE C
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-0612
Mailing Address - Country:US
Mailing Address - Phone:530-306-8857
Mailing Address - Fax:
Practice Address - Street 1:1400 A ST STE C
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-0612
Practice Address - Country:US
Practice Address - Phone:530-306-8857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker