| Doctor Name: | BRANDON DUANE STONE |
| NPI Number: | 1184094914 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BACHELORS OF ARTS |
| License Number: | J082273380 |
| Business Practice Address: | 1011 N Broadway St Poteau, OK - 749532609 |
| Business Phone Number: | 9186490011 |
| Business Fax Number: | |
| Mailing Address: | 17161 Old Highway 112, POTEAU |
| State: | OK |
| Postal Code: | 749537554 |
| Phone Number: | 9184139024 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2015 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | J082273380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |