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Individual
DR. SHANEE STEPAKOFF
Active
Individual
DR. SHANEE STEPAKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
017212
NY
103TC0700X
Clinical Psychologist
017212
NY
103TC0700X
Clinical Psychologist
7651
MA
103TC0700X
Clinical Psychologist
Primary
PS1544
ME
103TC2200X
Clinical Child & Adolescent Psychologist
017212
NY
103TF0000X
Family Psychologist
017212
NY
103TP2701X
Group Psychotherapy Psychologist
017212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300066781
MEDICARE PTAN
NY
Enumeration date
01/02/2008
Last updated
07/25/2025
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