Provider Demographics
NPI:1376774950
Name:STONE, KATE J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:J
Last Name:STONE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:J
Other - Last Name:CHARLEBOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:19 FOX RUN RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-2676
Mailing Address - Country:US
Mailing Address - Phone:802-881-7847
Mailing Address - Fax:
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0046310103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical