Provider Demographics
NPI:1376792473
Name:STONE, SARAH L
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:L
Last Name:STONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S AUSTIN AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-5769
Mailing Address - Country:US
Mailing Address - Phone:512-863-7999
Mailing Address - Fax:512-863-7911
Practice Address - Street 1:700 S AUSTIN AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-5769
Practice Address - Country:US
Practice Address - Phone:512-863-7999
Practice Address - Fax:512-863-7911
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP14152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry