Active NPIIndividual providerSole proprietor

Mrs. Kelley Stout

Counselor, Mental Health in Malden, Massachusetts

NPI Number1902159361
Practice location
730 Eastern Ave, Malden, MA 02148-5924
Fax
—
Last updated
October 23, 2012

Kelley Stout is a Counselor, Mental Health based in Malden, MA. Kelley Stout practices in Malden, MA. The NPI Number for Kelley Stout is 1902159361. The current practice location address for Kelley Stout is 730 Eastern Ave, Malden, MA 02148-5924 and can be reached out via phone at 781-879-8199.

Provider Profile Details

NPI Number
1902159361
Provider Name
Kelley Stout
Provider Entity Type
Individual
Gender
Female
Address
730 Eastern Ave, Malden, MA 02148-5924
Phone Number
781-879-8199
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2012
Last Update Date
October 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
730 Eastern Ave
Malden, MA 02148-5924
City
Malden
Zip
02148-5924
Phone Number
781-879-8199
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
39 Fuller St
Everett, MA 02149-4233
City
Everett
State
MA
Zip
02149-4233
Phone Number
617-851-8257

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Kelley Stout?

The NPI number of Mrs. Kelley Stout is 1902159361. It was assigned on October 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelley Stout?

Mrs. Kelley Stout is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mrs. Kelley Stout practice?

The practice location is 730 Eastern Ave, Malden, MA 02148-5924. The office can be reached at 781-879-8199 (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 1902159361 directly on the NPPES registry website.

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