Provider Demographics
NPI:1093425019
Name:STONE, DANI AIDAN
Entity Type:Individual
Prefix:
First Name:DANI
Middle Name:AIDAN
Last Name:STONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3729 REDDING ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-1366
Mailing Address - Country:US
Mailing Address - Phone:510-387-4657
Mailing Address - Fax:
Practice Address - Street 1:3729 REDDING ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-1366
Practice Address - Country:US
Practice Address - Phone:510-387-4657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health