MEDICARE: H EDWARD STONE LPC

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	833	TN

General Provider Information

NPI Number	:	1780783449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	H EDWARD STONE LPC

Provider Business Mailing Address
First Line	:	118 N CHURCH ST
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-3636
Country	:	US
Telephone Number	:	615-278-2241
Fax Number	:	615-904-9182

Provider Business Practice Location Address
First Line	:	2700 EXECUTIVE PARK NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2722
Country	:	US
Telephone Number	:	423-479-5454
Fax Number	:	423-479-0403

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/08/2007

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Directions to “ H EDWARD STONE LPC” Practice Location

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