Individual provider · Type 1 NPI
Jeremy Wayne Stout, PhD
Clinical Psychologist · Richmond, VA
Practice location
1207 Broad Rock Blvd
Richmond, VA 23249-1899
Mailing address
269 Lookout Hill Rd
Milford, CT 06461-1899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PY10800 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1003370321
Jeremy Wayne Stout, PhD's National Provider Identifier is 1003370321, issued on Jan 31, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Richmond, VA. The record was last updated on Apr 4, 2024.