DR. Jeremy Wayne Stout, PH.D.

NPI #1003370321 in Richmond, Virginia

Provider Information

NPI Number
1003370321
Entity Type
Individual
Name
DR. Jeremy Wayne Stout, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Jan 31, 2019
Last Updated
Apr 4, 2024

Practice Location

Address
1207 BROAD ROCK BLVD
ZIP Code
23249-1899
Phone
(804) 675-5000

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical
Student in an Organized Health Care Education/Training Program

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