Kelly Stout, PHD
NPI #1013395128 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1013395128
- Entity Type
- Individual
- Name
- Kelly Stout, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- May 8, 2015
- Last Updated
- Nov 23, 2021
Practice Location
- Address
- 295 S CHIPETA WAY
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84108-1287
- Phone
- (801) 213-3469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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