Individual
MR. STEPHEN COLLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14379 ROUTE 9W, RAVENA, NY 12143
(518) 756-3124
(518) 756-9476
Mailing address
537 ROUTE 9W, GLENMONT, NY 12077-3703
(518) 436-7888
(518) 462-9162
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
003906
NY
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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