Provider Demographics
NPI:1487760252
Name:STONE, SUE ELIZABETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:SUE
Middle Name:ELIZABETH
Last Name:STONE
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:2307 S GORDON COOPER DR
Mailing Address - Street 2:CITIZEN POTAWATOMI NATION HEALTH SERVICES
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-9007
Mailing Address - Country:US
Mailing Address - Phone:405-273-5236
Mailing Address - Fax:405-878-4690
Practice Address - Street 1:2307 S GORDON COOPER DR
Practice Address - Street 2:CITIZEN POTAWATOMI NATION HEALTH SERVICES
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-9007
Practice Address - Country:US
Practice Address - Phone:405-273-5236
Practice Address - Fax:405-878-4690
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK929103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical