Doctor Name: | MR. PETER STONE |
NPI Number: | 1114213741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MLADC |
License Number: | 0840 |
Business Practice Address: | 2 Village Green Rd B-5 Hampstead, NH - 038415209 |
Business Phone Number: | 6037020117 |
Business Fax Number: | 6035092405 |
Mailing Address: | 2 Village Green Rd, B-5 HAMPSTEAD |
State: | NH |
Postal Code: | 038415209 |
Phone Number: | 6037020117 |
Fax Number: | 6035092405 |
NPI Enumeration Date: | 06/22/2011 |
NPI Last Update Date: | 07/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |