Provider Demographics
NPI:1003161209
Name:STONE, MONICA DOLCE (MA)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:DOLCE
Last Name:STONE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 HOLLY OAK DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4142
Mailing Address - Country:US
Mailing Address - Phone:650-858-1526
Mailing Address - Fax:
Practice Address - Street 1:1225 CRANE ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4257
Practice Address - Country:US
Practice Address - Phone:650-858-1526
Practice Address - Fax:650-323-3149
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34704106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist