=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467714733
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN D STONE LAMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2012
-----------------------------------------------------
Last Update Date | 06/13/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 E CAMELBACK RD STE 630
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85012-1652
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-998-4629
-----------------------------------------------------
Fax | 602-635-1063
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 E CAMELBACK RD STE 630
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85012-1652
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-998-4629
-----------------------------------------------------
Fax | 602-635-1063
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------