Provider Demographics
NPI:1619109097
Name:STONE, GRETA GAY (LMHC)
Entity Type:Individual
Prefix:
First Name:GRETA
Middle Name:GAY
Last Name:STONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 OLD CONNECTICUT PATH
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-3113
Mailing Address - Country:US
Mailing Address - Phone:508-358-4142
Mailing Address - Fax:508-358-6085
Practice Address - Street 1:213 OLD CONNECTICUT PATH
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-3113
Practice Address - Country:US
Practice Address - Phone:508-358-4142
Practice Address - Fax:508-358-6085
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6160101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health