Stephanie Doughty Kilgannon, - Counselor in Massapequa, NY

Stephanie Doughty Kilgannon, is a Counselor - Mental Health based in Massapequa, New York. Stephanie Doughty Kilgannon is licensed to practice in * (Not Available) (license number ) and her current practice location is 54 Cherry St, Massapequa, New York. She can be reached at her office (for appointments etc.) via phone at (718) 791-7487.

NPI number for Stephanie Doughty Kilgannon is 1669139085 and her current mailing address is 54 Cherry St, Massapequa, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669139085.

Contact Information

Stephanie Doughty Kilgannon,
54 Cherry St,
Massapequa, NY 11758-5117
(718) 791-7487
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameStephanie Doughty Kilgannon
GenderFemale
SpecialityCounselor - Mental Health
Location54 Cherry St, Massapequa, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669139085
  • Provider Enumeration Date: 11/19/2021
  • Last Update Date: 11/19/2021

Medical Identifiers

Medical identifiers for Stephanie Doughty Kilgannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669139085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YS0200XCounselor - School (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Doughty Kilgannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Doughty Kilgannon,
54 Cherry St,
Massapequa, NY 11758-5117

Ph: (718) 791-7487
Stephanie Doughty Kilgannon,
54 Cherry St,
Massapequa, NY 11758-5117

Ph: (718) 791-7487

Reviews and Comments


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