MEDICARE: DR. ARIN STONE PSY.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
1	103TC2200X	Clinical Child & Adolescent Psychologist	071.007122	IL
2	103TC0700X	Clinical Psychologist	071.007122	IL

General Provider Information

NPI Number	:	1194851121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIN STONE PSY.D.

Provider Business Mailing Address
First Line	:	841 W AINSLIE ST APT 3E
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4387
Country	:	US
Telephone Number	:	773-383-4947
Fax Number	:

Provider Business Practice Location Address
First Line	:	3050 W 39TH PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-2402
Country	:	US
Telephone Number	:	312-413-3039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	12/30/2020

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