Individual
ANNA PHAM STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
116 S ELMER AVE, SAYRE, PA 18840-2006
(570) 887-2849
(570) 887-2244
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-3023
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006517
PA
Other
Enumeration date
06/01/2017
Last updated
11/13/2018
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