Healthcare Provider Details

I. General information

NPI: 1184028805
Provider Name (Legal Business Name): EMILY JOY STONE MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2014
Last Update Date: 04/04/2024
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ATWATER DR STE 130
MALVERN PA
19355-8782
US

IV. Provider business mailing address

1200 ATWATER DR STE 130
MALVERN PA
19355-8782
US

V. Phone/Fax

Practice location:
  • Phone: 610-646-1851
  • Fax: 484-355-5181
Mailing address:
  • Phone: 610-646-1851
  • Fax: 484-355-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC013337
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH002431
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: