1053358317 NPI number — DR. MARI DOREN STONER PHD LPC LMFT

Table of content: DR. MARI DOREN STONER PHD LPC LMFT (NPI 1053358317)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053358317 NPI number — DR. MARI DOREN STONER PHD LPC LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STONER
Provider First Name:
MARI
Provider Middle Name:
DOREN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD LPC LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053358317
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 MT LEBANON BLVD
Provider Second Line Business Mailing Address:
SUITE 2223
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-519-8848
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 MT LEBANON BLVD
Provider Second Line Business Practice Location Address:
SUITE 2223
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-531-2223
Provider Business Practice Location Address Fax Number:
305-853-7146
Provider Enumeration Date:
06/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  PC001724 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 106H00000X , with the licence number: MT2110 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MHS200193 . This is a "VALUE OPTION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1427049 . This is a "MAGELLAN HIGHMARK" identifier . This identifiers is of the category "OTHER".