Individual
ELIZABETH STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
329 BATH RD, BRUNSWICK, ME 04011-2609
(800) 434-3000
Mailing address
115 HARBOR PL, SOUTH PORTLAND, ME 04106-2861
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS1060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432040799
—
ME
Enumeration date
06/20/2007
Last updated
07/08/2007
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