Individual
ANDREW CHRISTOPHER STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED. CCC-SLP
Contact information
Practice address
1101 EXCHANGE PL APT 314, DURHAM, NC 27713-1886
(910) 850-8762
Mailing address
1101 EXCHANGE PL APT 314, DURHAM, NC 27713-1886
(910) 850-8762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12363
NC
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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