Basic Information
Provider Information
NPI: 1003291014
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STONER
FirstName: ALISON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 415348
Address2:  
City: BOSTON
State: MA
PostalCode: 022415348
CountryCode: US
TelephoneNumber: 8002258885
FaxNumber: 5083341977
Practice Location
Address1: 55 LAKE AVE N
Address2:  
City: WORCESTER
State: MA
PostalCode: 016550002
CountryCode: US
TelephoneNumber: 5088562193
FaxNumber: 5088566426
Other Information
ProviderEnumerationDate: 07/21/2015
LastUpdateDate: 10/11/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X10394MAY Behavioral Health & Social Service ProvidersPsychologist 
103T00000X3269-57WIN Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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