Provider Demographics
NPI:1356447932
Name:STEINMAN, WARREN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:M
Last Name:STEINMAN
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 274
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87504-0274
Mailing Address - Country:US
Mailing Address - Phone:505-983-7191
Mailing Address - Fax:505-466-4069
Practice Address - Street 1:1807 2ND ST
Practice Address - Street 2:SUITE 40
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-3499
Practice Address - Country:US
Practice Address - Phone:505-983-7191
Practice Address - Fax:505-466-4069
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM322103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical