IndividualActive
Brandon Stout
NPI 1700451044 · Marriage & Family Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1700451044
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 347625-3904 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Practice location
1020 S Main St
Salt Lake City, UT 84101-3176
Phone: (888) 949-4864
Approximate (ZIP-level) locationGet directions
Mailing address
3725 W 4100 S Ste 201
Salt Lake City, UT 84120-6490
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.