Provider Demographics
NPI:1578097077
Name:PRICE, STEPHANIE SERWAAH (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:SERWAAH
Last Name:PRICE
Suffix:
Gender:
Credentials:DO
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:SERWAAH
Other - Last Name:KWAKYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:109 W 27TH ST
Mailing Address - Street 2:SUITE 5S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6208
Mailing Address - Country:US
Mailing Address - Phone:833-351-8255
Mailing Address - Fax:888-815-3583
Practice Address - Street 1:15000 WESTON PKWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2118
Practice Address - Country:US
Practice Address - Phone:833-351-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3197852084P0800X
AZ0079942084P0800X
SC837062084P0800X
NC2022-030702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry