Individual
KAYLA ROGERS STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
37 BROCK DR, LOOKOUT MOUNTAIN, GA 30750-2207
(229) 318-9594
(423) 702-4493
Mailing address
8459 LEXIE LN, OOLTEWAH, TN 37363-5796
(229) 318-9594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008610
GA
Other
Enumeration date
11/05/2014
Last updated
11/08/2018
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