Provider Demographics
NPI:1316137847
Name:STONE, DANIELLE (LCMT)
Entity type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:LCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 JFK RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-3250
Mailing Address - Country:US
Mailing Address - Phone:563-583-3629
Mailing Address - Fax:
Practice Address - Street 1:731 RHOMBERG AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3424
Practice Address - Country:US
Practice Address - Phone:563-580-5630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor