Doherty, Stefanie

Doherty, Stefanie is an individual health care provider with primary practice located at 46 Brockley Dr , Delmar NY 12054-2300. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Doherty, Stefanie can be contacted via phone (518) 424-0137.

Contact Information

Primary practice address
46 Brockley Dr Delmar NY 12054-2300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 019698-1 New York

Profile Details

NPI number 1235468802
LBN Legal business name Doherty, Stefanie
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2009
Last updated Dec 6th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235468802 NPPES
New York MEDICAID 03661589

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