NPI 1013395128

Kelly Stout, PHD

Practitioner Psychologist Salt Lake City, UT

Practice location

Address: 295 S Chipeta Way, Salt Lake City, UT 84108-1287
Phone: (801) 213-3469
Mailing address: 127 S. 500 E Suite 600, Salt Lake City, UT 84102-1971

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 6022766-2501 (UT)

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Registry record

NPI: 1013395128
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2015
Record last updated: 23 Nov 2021

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.