Provider Demographics
NPI:1538377379
Name:SUTTON, MARKLEY STEVENS (PHD)
Entity type:Individual
Prefix:DR
First Name:MARKLEY
Middle Name:STEVENS
Last Name:SUTTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5342
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94581-0342
Mailing Address - Country:US
Mailing Address - Phone:707-480-9661
Mailing Address - Fax:
Practice Address - Street 1:2035 SEVILLE DR
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4318
Practice Address - Country:US
Practice Address - Phone:707-252-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5529103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist