Stephanie Gregory, M.S.

Individual provider Active NPI Mental Health Counselor · Skaneateles, NY

NPI 1700276128 · NPPES record last updated Jan 24, 2015

Key facts

NPI
1700276128
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P95874 (NY)
Practice address
29 Fennell St
Skaneateles, NY 13152-1117
Phone
(215) 514-5060
NPI assigned
Jan 24, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P95874NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P95874 NY Yes

Addresses

Primary practice location

29 Fennell St
Skaneateles, NY 13152-1117

Mailing address

113 Cayuga St
PO 360
Union Springs, NY 13160-2403
Phone (215) 514-5060

Other providers in Skaneateles, NY

All providers in Skaneateles, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.