Individual provider · Type 1 NPI
Madison Stout, PhD, HSPP
Health Service Psychologist · Evansville, IN
Practice location
1931 Lincoln Ave Ste A
Evansville, IN 47714-1507
Mailing address
1800 Lincoln Ave
Evansville, IN 47722-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 20043821B (IN) |
| Health Service Psychologist Primary | 103TH0100X | 20043821B (IN) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1033008230
Madison Stout, PhD, HSPP's National Provider Identifier is 1033008230, issued on Jul 1, 2025. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Evansville, IN. The record was last updated on Jul 7, 2025.