MEDICARE: DR. WILLANN STONE PH.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	103TC0700X	Clinical Psychologist	012948	NY

General Provider Information

NPI Number	:	1447315197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLANN STONE PH.D.

Provider Business Mailing Address
First Line	:	10 BARNES RD
Second Line	:
City	:	OSSINING
State	:	NY
Zip	:	10562-3002
Country	:	US
Telephone Number	:	914-762-0808
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 CENTRAL PARK W
Second Line	:	SUITE 1K
City	:	NEW YORK
State	:	NY
Zip	:	10024-1513
Country	:	US
Telephone Number	:	212-724-4949
Fax Number	:

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

Provider Enumeration Date	:	12/23/2006
Last Update Date	:	08/13/2010

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