Individual
SHANNON M. STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY, SUITE 200, PARAGON REHABILITATION, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
1523 AMELIA AVE, ROYAL OAK, MI 48073-2751
(248) 515-3145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/08/2013
Last updated
03/13/2023
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