Healthcare Provider Details

I. General information

NPI: 1659507333
Provider Name (Legal Business Name): MARION E STONE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12541 FOSTER ST
OVERLAND PARK KS
66213-2852
US

IV. Provider business mailing address

6407 W 80TH TER
OVERLAND PARK KS
66204-3821
US

V. Phone/Fax

Practice location:
  • Phone: 913-327-7505
  • Fax: 913-327-7054
Mailing address:
  • Phone: 913-206-3553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number03228
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: