Individual ProviderJosephine H. StouterPsychologistBehavioral Health & Social Service ProvidersPractice Address1910 Lakeland Drive, Suite C, Quest,, Jackson, MS 39216(601) 713-1550PECOS EnrollmentBased on the most recent information from CMS, provider Josephine H. Stouter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215020714Provider TypeIndividualFull NameStouter, Josephine H.TitleDr.CredentialPH.D.GenderFemaleSole ProprietorNoEnumeration Date10/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1910 Lakeland Drive, Suite C, Quest,, Jackson, MS 39216Phone(601) 713-1550Fax(601) 713-0122Mailing LocationMailing Address1910 Lakeland Drive, Suite C, Quest,, Jackson, MS 39216Phone(601) 713-1550Fax(601) 713-0122Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense44712Mississippi