Individual
KELLY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 213-3469
Mailing address
127 S. 500 E, SUITE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6022766-2501
UT
Other
Enumeration date
05/08/2015
Last updated
11/23/2021
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