Provider Demographics
NPI:1679355184
Name:STONE, KATHLEEN ALAINA (CF-SLP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ALAINA
Last Name:STONE
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2514 CONSTANCE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5514
Mailing Address - Country:US
Mailing Address - Phone:910-528-4366
Mailing Address - Fax:
Practice Address - Street 1:1614 ORETHA CASTLE HALEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1311
Practice Address - Country:US
Practice Address - Phone:504-267-9060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9193235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist