Colleen, Stephen

Colleen, Stephen is an sole proprietor health care provider with primary practice located at 14379 Route 9W , Ravena NY 12143. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Colleen, Stephen can be contacted via phone (518) 756-3124.

Contact Information

Primary practice address
14379 Route 9W Ravena NY 12143
Fax: (518) 756-9476
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 003906 New York

Profile Details

NPI number 1407000524
LBN Legal business name Colleen, Stephen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2008
Last updated Nov 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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