Healthcare Provider Details

I. General information

NPI: 1689793549
Provider Name (Legal Business Name): STEPHANIE A KUHN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE A CONTRUCCI KUHN PHD

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 12/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 CEDAR LANE
RIDGEFIELD CT
06877
US

IV. Provider business mailing address

49 CEDAR LANE
RIDGEFIELD CT
06877
US

V. Phone/Fax

Practice location:
  • Phone: 914-413-7791
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number04414
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number017698
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number35556
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: