Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremy Wayne Stout, PHD

Individual provider Clinical Psychologist · NPI 1003370321

Dr. Jeremy Wayne Stout, PHD is a Clinical Psychologist in Richmond, Virginia. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1207 Broad Rock Blvd
Richmond, VA 23249-1899
Phone: (804) 675-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY10800 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003370321
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 31, 2019
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

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