Individual
VICTORIA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
501 STUDENT HEALTH CTR, UNIVERSITY PARK, PA 16802-2129
(814) 863-0395
(814) 863-9610
Mailing address
501 STUDENT HEALTH CTR, UNIVERSITY PARK, PA 16802-2129
(814) 863-0395
(814) 863-9610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS-005475-L
PA
2084P0800X
Psychiatry Physician
OS005475L
PA
Other
Enumeration date
01/26/2006
Last updated
04/02/2018
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