Provider Demographics
NPI:1902238876
Name:STONE, ANDREW MATTHEW (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MATTHEW
Last Name:STONE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:MATT
Other - Middle Name:
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9202 CENTER OAK CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2744
Mailing Address - Country:US
Mailing Address - Phone:804-730-0432
Mailing Address - Fax:804-730-2829
Practice Address - Street 1:9202 CENTER OAK CT
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2744
Practice Address - Country:US
Practice Address - Phone:804-730-0432
Practice Address - Fax:804-730-2829
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005099103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical