Provider Demographics
NPI:1457584526
Name:STONE, BOBI MARIE
Entity Type:Individual
Prefix:
First Name:BOBI
Middle Name:MARIE
Last Name:STONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROBERTA
Other - Middle Name:MARIE
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25424 HARDY PL
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1504
Mailing Address - Country:US
Mailing Address - Phone:818-606-6103
Mailing Address - Fax:661-678-0711
Practice Address - Street 1:23542 LYONS AVE STE 202
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-5713
Practice Address - Country:US
Practice Address - Phone:818-606-6103
Practice Address - Fax:661-678-0711
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84066106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist