Provider Demographics
NPI:1376763011
Name:STEINBOCK, CAROLE BETH (PHD,)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:BETH
Last Name:STEINBOCK
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 1:136 E 76TH ST
Mailing Address - Street 2:12D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2825
Mailing Address - Country:US
Mailing Address - Phone:212-535-1992
Mailing Address - Fax:
Practice Address - Street 1:136 E 76TH ST
Practice Address - Street 2:12D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2825
Practice Address - Country:US
Practice Address - Phone:212-535-1992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007442-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist