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 | 02602026 | MO | 01 |
BCBS | 505332 | KS | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin