Healthcare Provider Details

I. General information

NPI: 1750444808
Provider Name (Legal Business Name): JUDITH E. STONE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 NORTHAMPTON ST
HOLYOKE MA
01040-1919
US

IV. Provider business mailing address

7 AUTUMN LN
AMHERST MA
01002-3316
US

V. Phone/Fax

Practice location:
  • Phone: 413-532-0926
  • Fax: 413-532-0928
Mailing address:
  • Phone: 413-253-7467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1232
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: