Stephen Clark Rutledge, PHD is a
Psychologist based in Ooltewah, Tennessee. Stephen Clark Rutledge is licensed to practice in Tennessee (license number P-1685) and his current practice location is
9123 Pleasant Ln, Ooltewah, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 377-0088.
NPI number for Stephen Clark Rutledge is 1285816694 and his current mailing address is 9123 Pleasant Ln, Ooltewah, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285816694.
Healthcare Provider's Profile
| Full Name | Stephen Clark Rutledge |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 9123 Pleasant Ln, Ooltewah, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285816694
- Provider Enumeration Date: 11/28/2007
- Last Update Date: 01/13/2022
Medical Identifiers
Medical identifiers for Stephen Clark Rutledge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285816694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | P-1685 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen Clark Rutledge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephen Clark Rutledge, PHD
9123 Pleasant Ln,
Ooltewah, TN 37363-6248
Ph: (731) 377-0088 | Stephen Clark Rutledge, PHD
9123 Pleasant Ln,
Ooltewah, TN 37363-6248
Ph: (731) 377-0088 |
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