Provider Demographics
NPI:1477528719
Name:STEINBERG, CAROL LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:LEE
Last Name:STEINBERG
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 1:327 D BOSTON POST RD
Mailing Address - Street 2:WAYSIDE COUNSELING ASSOCIATES
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776
Mailing Address - Country:US
Mailing Address - Phone:978-443-4262
Mailing Address - Fax:978-443-4262
Practice Address - Street 1:327 D BOSTON POST RD
Practice Address - Street 2:WAYSIDE COUNSELING ASSOCIATES
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776
Practice Address - Country:US
Practice Address - Phone:978-443-4262
Practice Address - Fax:978-443-4262
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1904103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
207282OtherMANAGED HEALTH NETWORK
5007036OtherAETNA
61848OtherCIGNA HEALTH CARE
MA713300OtherTUFTS HEALTH PLAN
W02071OtherBLUE SHIELD OF MASS
A001770OtherVALUE OPTIONS
MA0513466Medicaid
207282OtherTRICARE
MAW02071Medicare ID - Type Unspecified