MEDICARE: ERIN D STONE LAMFT

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	106H00000X	Marriage & Family Therapist		AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467714733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN D STONE LAMFT

Provider Business Mailing Address
First Line	:	1 E CAMELBACK RD STE 630
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1652
Country	:	US
Telephone Number	:	888-998-4629
Fax Number	:	602-635-1063

Provider Business Practice Location Address
First Line	:	1 E CAMELBACK RD STE 630
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1652
Country	:	US
Telephone Number	:	888-998-4629
Fax Number	:	602-635-1063

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

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	06/13/2012

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