Individual
DAVID J AHMAD-STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1420 WALNUT ST STE 1206, PHILADELPHIA, PA 19102-4012
(410) 802-8952
(215) 821-8987
Mailing address
1420 WALNUT ST STE 1206, PHILADELPHIA, PA 19102-4012
(410) 802-8952
(215) 821-8987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018208
PA
Other
Enumeration date
03/18/2013
Last updated
07/21/2022
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