Individual
STEPHANIE ANN BENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 W LAKEWAY RD STE 700, GILLETTE, WY 82718-6346
(307) 387-9850
(307) 387-9890
Mailing address
201 W LAKEWAY RD STE 1004, GILLETTE, WY 82718-6349
(307) 387-9850
(307) 387-9890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036167028
IL
2084P0800X
Psychiatry Physician
Primary
17508A
WY
2084P0800X
Psychiatry Physician
8352
NE
Other
Enumeration date
07/18/2018
Last updated
03/18/2025
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