NPI 1003370321

Jeremy Wayne Stout, PHD

Practitioner Clinical Psychologist Richmond, VA

Practice location

Address: 1207 Broad Rock Blvd, Richmond, VA 23249-1899
Phone: (804) 675-5000
Mailing address: 269 Lookout Hill Rd, Milford, CT 06461-1899

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY10800 (FL)

Other Psychologist providers in Virginia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Virginia →

Registry record

NPI: 1003370321
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2019
Record last updated: 4 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.