Provider Demographics
NPI:1245425644
Name:STEIDINGER, JOAN LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:LYNN
Last Name:STEIDINGER
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 1:311 MILLER AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2844
Mailing Address - Country:US
Mailing Address - Phone:415-288-4252
Mailing Address - Fax:415-380-9979
Practice Address - Street 1:311 MILLER AVE
Practice Address - Street 2:SUITE G
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2844
Practice Address - Country:US
Practice Address - Phone:415-288-4252
Practice Address - Fax:415-380-9979
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-09
Last Update Date:2007-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 12505103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical