Doctor Name: | MRS. BROOKE ERIN STOUT |
NPI Number: | 1104288984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 950 Se Regatta Dr. #101 Oak Harbor, WA - 98277 |
Business Phone Number: | 3606791039 |
Business Fax Number: | 3606796646 |
Mailing Address: | Po Box 633, OAK HARBOR |
State: | WA |
Postal Code: | 98277 |
Phone Number: | 3606791039 |
Fax Number: | 3606796646 |
NPI Enumeration Date: | 03/22/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |