Provider Demographics
NPI:1275254997
Name:VAN STEENBERGHE, ALICE (SLP-CFY)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:VAN STEENBERGHE
Suffix:
Gender:F
Credentials:SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10343 SAN DIEGO MISSION RD APT D238
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2128
Mailing Address - Country:US
Mailing Address - Phone:510-507-8315
Mailing Address - Fax:
Practice Address - Street 1:10516 SILVERDALE WAY NW STE 110D
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8745
Practice Address - Country:US
Practice Address - Phone:360-307-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist