| Doctor Name: | DR. STEPHANIE BUCHANAN |
| NPI Number: | 1215393988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LICSW, PH.D. |
| License Number: | 0839151 |
| Business Practice Address: | 3 Pine Ridge Rd East Chatham, NY - 120602117 |
| Business Phone Number: | 9174553178 |
| Business Fax Number: | |
| Mailing Address: | 3 Pine Ridge Rd, EAST CHATHAM |
| State: | NY |
| Postal Code: | 120602117 |
| Phone Number: | 9174553178 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2016 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0839151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |