Mr Stephen Colleen, is a
Psychologist - Cognitive & Behavioral based in Ravena, New York. Mr Stephen Colleen is licensed to practice in New York (license number 003906) and his current practice location is
14379 Route 9w, Ravena, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 756-3124.
NPI number for Mr Stephen Colleen is 1407000524 and his current mailing address is 537 Route 9w, Glenmont, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407000524.
Healthcare Provider's Profile
| Full Name | Mr Stephen Colleen |
|---|
| Gender | Male |
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| Speciality | Psychologist - Cognitive & Behavioral |
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| Location | 14379 Route 9w, Ravena, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407000524
- Provider Enumeration Date: 11/17/2008
- Last Update Date: 11/17/2008
Medical Identifiers
Medical identifiers for Mr Stephen Colleen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407000524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 003906 (New York) | 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. Mr Stephen Colleen 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 Address | Practice Location Address |
|---|
Mr Stephen Colleen,
537 Route 9w,
Glenmont, NY 12077-3703
Ph: (518) 436-7888 | Mr Stephen Colleen,
14379 Route 9w,
Ravena, NY 12143
Ph: (518) 756-3124 |
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