- Practice location
- 1207 Broad Rock Blvd, Richmond, VA 23249-1899
- Phone
- 804-675-5000
- Fax
- —
- Last updated
- April 4, 2024
Jeremy Wayne Stout is a Psychologist, Clinical based in Richmond, VA. Jeremy Wayne Stout practices in Richmond, VA and has the professional credentials of PHD. The NPI Number for Jeremy Wayne Stout is 1003370321 and holds a License No. PY10800 (FL). The current practice location address for Jeremy Wayne Stout is 1207 Broad Rock Blvd, Richmond, VA 23249-1899 and can be reached out via phone at 804-675-5000.
Provider Profile Details
- NPI Number
- 1003370321
- Provider Name
- Jeremy Wayne Stout
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1207 Broad Rock Blvd, Richmond, VA 23249-1899
- Phone Number
- 804-675-5000
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2019
- Last Update Date
- April 4, 2024
- Certification Date
- April 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1207 Broad Rock Blvd
Richmond, VA 23249-1899 - City
- Richmond
- State
- Virginia
- Zip
- 23249-1899
- Phone Number
- 804-675-5000
Provider Business Mailing Address Details
- Address
- 269 Lookout Hill RD
Milford, CT 06461-1899 - City
- Milford
- State
- CT
- Zip
- 06461-1899
- Phone Number
- 808-375-4414
License Information
- License Number (1)
- PY10800
- License State (1)
- FL
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jeremy W Stout, PHD?
The NPI number of Dr. Jeremy W Stout, PHD is 1003370321. It was assigned on January 31, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy W Stout, PHD?
Dr. Jeremy W Stout, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in FL under license number PY10800.
Where does Dr. Jeremy W Stout, PHD practice?
The practice location is 1207 Broad Rock Blvd, Richmond, VA 23249-1899. The office can be reached at 804-675-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003370321 directly on the NPPES registry website.