Shirley Ann Stutson | Victorville, CA • PECOS Search

Shirley Ann Stutson

Marriage & Family Therapist

Behavioral Health & Social Service Providers

16044 Bear Valley Rd Ste 6, 5571 Trinity Rd. Phelan, Ca. 92371, Victorville, CA 92395-8981

PECOS Enrollment

Based on the most recent information from CMS, provider Shirley Ann Stutson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437188638
Provider Type
Individual
Full Name
Stutson, Shirley Ann
Credential
MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/1/2006
Last Updated
4/8/2008

Contact Information

Practice Location

16044 Bear Valley Rd Ste 6, 5571 Trinity Rd. Phelan, Ca. 92371, Victorville, CA 92395-8981

Unlisted Fax

Mailing Location

16044 Outer Bear Valley #6, Victorville, CA 92395

(760) 868-8866

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC23400 California