MEDICARE: STONE PSYCHOLOGICAL CENTER

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1932758620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONE PSYCHOLOGICAL CENTER

Provider Business Mailing Address
First Line	:	2527 GLENDALE PL
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6133
Country	:	US
Telephone Number	:	860-830-0242
Fax Number	:	860-760-6627

Provider Business Practice Location Address
First Line	:	818 US HIGHWAY 1 STE 5
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3857
Country	:	US
Telephone Number	:	561-346-4497
Fax Number	:	860-760-6627

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. DENISE STONE
Credential	:	PSY.D
Telephone Number	:	561-346-4497

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	09/05/2019

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Directions to “STONE PSYCHOLOGICAL CENTER ” Practice Location

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