Provider Demographics
NPI:1306060868
Name:CARONE, STACIA ANN (LPC)
Entity type:Individual
Prefix:DR
First Name:STACIA
Middle Name:ANN
Last Name:CARONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 EASTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2488
Mailing Address - Country:US
Mailing Address - Phone:724-349-2030
Mailing Address - Fax:
Practice Address - Street 1:INDIANA UNIVERSITY OF PENNSYLVANIA
Practice Address - Street 2:206 STOUFFER HALL
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15705-0001
Practice Address - Country:US
Practice Address - Phone:724-357-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA003395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health