Individual
MEGAN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 W HENDERSON AVE STE 2, PORTERVILLE, CA 93257-1490
(559) 788-1200
Mailing address
1055 W HENDERSON AVE STE 2, PORTERVILLE, CA 93257-1490
(559) 788-1200
(559) 713-3717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
CA
174H00000X
Health Educator
Primary
—
CA
Other
Enumeration date
09/14/2021
Last updated
03/26/2025
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