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NPI Code Detail

MEDICARE: DR. CAROLYN R STONE ED.D.

MEDICARE: DR. CAROLYN R STONE ED.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent Psychologist3145MA
2103TC0700XClinical Psychologist3145MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1729246OTHERMATUFT HEALTH PLAN
2110325000OTHERMAMAGELLAN BEHAVIORAL HEALT

General Provider Information

NPI Number : 1073600607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLYN R STONE ED.D.
Provider Business Mailing Address
First Line : 4-8 HARTFORD STREET
Second Line : SUITE 204
City : NEWTON HIGHLANDS
State : MA
Zip : 02461
Country : US
Telephone Number : 617-630-1523
Fax Number : 617-630-1523
Provider Business Practice Location Address
First Line : 30 LINCOLN ST
Second Line : STE 3
City : NEWTON HIGHLANDS
State : MA
Zip : 02461-1527
Country : US
Telephone Number : 617-630-1523
Fax Number : 617-630-1523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 01/22/2019

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Directions to “ DR. CAROLYN R STONE ED.D.” Practice Location

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