Healthcare Provider Details

I. General information

NPI: 1174715601
Provider Name (Legal Business Name): BARBARA LOUISE STONE PH.D PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 E IDAHO ST
KALISPELL MT
59901-4137
US

IV. Provider business mailing address

419 4TH AVE E
KALISPELL MT
59901-4912
US

V. Phone/Fax

Practice location:
  • Phone: 406-257-1623
  • Fax: 406-494-1724
Mailing address:
  • Phone: 406-257-1623
  • Fax: 406-494-1724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number243
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: