Provider Demographics
NPI:1316223001
Name:DOYLE, STEPHANIE (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 MANVILLE RD STE 6U
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2154
Mailing Address - Country:US
Mailing Address - Phone:914-815-3539
Mailing Address - Fax:914-922-9212
Practice Address - Street 1:343 MANVILLE RD STE 6U
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2154
Practice Address - Country:US
Practice Address - Phone:914-815-3395
Practice Address - Fax:914-922-9212
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0791981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical