NPI 1093527038
Souritha Stoutamire
Practice location
- Address
- 11705 Berry Rd STE 104, Waldorf, MD 20603-5933
- Phone
- (240) 207-4513
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1093527038
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2025
- Record last updated
- 27 Jan 2025
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.