Provider Demographics
NPI:1225246093
Name:STEINFELD, MARJORIE LEWIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:LEWIS
Last Name:STEINFELD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LAKEVIEW TER
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9158
Mailing Address - Country:US
Mailing Address - Phone:973-335-5210
Mailing Address - Fax:973-335-5210
Practice Address - Street 1:227 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-1847
Practice Address - Country:US
Practice Address - Phone:973-831-8315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2774103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ076354Medicare ID - Type Unspecified