Provider Demographics
NPI:1003987181
Name:STEEVER, ETHAN EMERY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:EMERY
Last Name:STEEVER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18432
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-0432
Mailing Address - Country:US
Mailing Address - Phone:775-560-7111
Mailing Address - Fax:775-786-3877
Practice Address - Street 1:5865 TYRONE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6265
Practice Address - Country:US
Practice Address - Phone:775-786-2828
Practice Address - Fax:775-786-3877
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0459103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist