Provider Demographics
NPI:1720478654
Name:STONE, HEATHER (MA; BSL)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:MA; BSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 BEATTY RD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1334
Mailing Address - Country:US
Mailing Address - Phone:412-374-8275
Mailing Address - Fax:412-374-0708
Practice Address - Street 1:560 BEATTY RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1334
Practice Address - Country:US
Practice Address - Phone:412-374-8275
Practice Address - Fax:412-374-0708
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000167101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor