Provider Demographics
NPI:1447098892
Name:STUTEVILLE, TAYLOR MAY
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MAY
Last Name:STUTEVILLE
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 1:9200 INDIAN CREEK PKWY STE 380
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2008
Mailing Address - Country:US
Mailing Address - Phone:913-220-2450
Mailing Address - Fax:913-220-2423
Practice Address - Street 1:9200 INDIAN CREEK PKWY STE 380
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2008
Practice Address - Country:US
Practice Address - Phone:913-220-2450
Practice Address - Fax:913-220-2423
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist