Individual
DR. EILEEN STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 23RD ST S, FARGO, ND 58103
(701) 297-7540
(701) 297-6439
Mailing address
1308 23RD ST S, FARGO, ND 58103
(701) 297-7540
(701) 297-6439
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TP0814X
Psychoanalysis Psychologist
369
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12854
—
ND
05
—
130154300
—
MN
Enumeration date
07/24/2006
Last updated
04/30/2018
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