Provider Demographics
NPI:1558436162
Name:STONE, LYN K (PHD)
Entity type:Individual
Prefix:DR
First Name:LYN
Middle Name:K
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 1:4117 FAIRWOOD BLVD NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-2190
Mailing Address - Country:US
Mailing Address - Phone:206-231-9751
Mailing Address - Fax:253-927-8005
Practice Address - Street 1:4117 FAIRWOOD BLVD NE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98422-2190
Practice Address - Country:US
Practice Address - Phone:206-231-9751
Practice Address - Fax:253-927-8005
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006499101YM0800X
WALF00000815106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health