Individual
DR. MADISON STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
1931 LINCOLN AVE STE A, EVANSVILLE, IN 47714-1507
(812) 488-5640
Mailing address
1800 LINCOLN AVE, EVANSVILLE, IN 47722-1000
(812) 488-5171
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20043821B
IN
103TH0100X
Health Service Psychologist
Primary
20043821B
IN
Other
Enumeration date
07/01/2025
Last updated
07/07/2025
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