Doctor Name: | MRS. KATHRYN SUZANNE STONE |
NPI Number: | 1093079972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW, LMHC, CASAC |
License Number: | 004029 |
Business Practice Address: | 2087 Berkley Ln Merrick, NY - 115665515 |
Business Phone Number: | 5163782197 |
Business Fax Number: | |
Mailing Address: | 2087 Berkley Ln, MERRICK |
State: | NY |
Postal Code: | 115665515 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/26/2012 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 004029 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |