Provider Demographics
NPI:1386604668
Name:STONE, KAREN RASMUSSEN (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:RASMUSSEN
Last Name:STONE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 OCEAN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050
Mailing Address - Country:US
Mailing Address - Phone:781-837-2971
Mailing Address - Fax:781-837-2992
Practice Address - Street 1:2016 OCEAN ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050
Practice Address - Country:US
Practice Address - Phone:781-837-2971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2010-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2350103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA724034OtherTUFTS
MA051743000OtherMAGELLAN
MA0005615239OtherAETNA
MAW02542OtherBLUE CROSS BLUE SHIELD
MAW02542OtherBLUE CROSS BLUE SHIELD