Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 10394 | MA |
Y | 103T00000X | Psychologist | 10394 | MA |
N | 102L00000X | Psychologist | 3269-57 | WI |
N | 103T00000X | Psychologist | 3269-57 | WI |
NPI | 1003291014 |
---|---|
Provider Name | Alison Stoner |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01655-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2015 |
Last Update Date | 11/10/2016 |