Healthcare Provider Details
I. General information
NPI: 1477747053
Provider Name (Legal Business Name): TRISHA RENEE STONE PSYD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2007
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 E 1ST ST
MORRIS MN
56267-1408
US
IV. Provider business mailing address
400 E 1ST ST
MORRIS MN
56267-1408
US
V. Phone/Fax
- Phone: 320-589-7625
- Fax:
- Phone: 320-589-7625
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | LP6409 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: