DR. STANLEY VERNON BUTTS PHD

Clinical Neuropsychologist

Kansas City, Missouri

Provider NPI: 1336132257

Provider Information:
DR. STANLEY VERNON BUTTS PHD
Gender: M
Sole Proprietor


Practice Location:
800 W 47TH ST SUITE 514 KANSAS CITY, MO 64112 US
Tel: 816-561-5556  Fax: 816-756-3151

Business Mailing Address:
800 W 47TH ST SUITE 514 KANSAS CITY, MO 64112 US
Tel: 816-561-5556  Fax: 816-756-3151

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
N	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	KS	KS205
N	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	MO	MO00020
Y	103T00000X	Behavioral Health & Social Service Providers Psychologist	MO	MO00020
N	103T00000X	Behavioral Health & Social Service Providers Psychologist	KS	KS205

Other Provider Identifiers:

Issuer	Number	State	Type
BCBS	505332	KS	01
BCBS	02602026	MO	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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