Kilgannon, Stephanie Doughty

Kilgannon, Stephanie Doughty is an sole proprietor health care provider with primary practice located at 54 Cherry St , Massapequa NY 11758-5117. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kilgannon, Stephanie Doughty can be contacted via phone (718) 791-7487.

Contact Information

Primary practice address
54 Cherry St Massapequa NY 11758-5117
Phone: (718) 791-7487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1669139085
LBN Legal business name Kilgannon, Stephanie Doughty
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2021
Last updated Nov 19th, 2021 - about 3 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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