Provider Demographics
NPI:1497093389
Name:PIECZENIK, STEVE RICHARD (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:RICHARD
Last Name:PIECZENIK
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4731 ESSEX AVE
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5549
Mailing Address - Country:US
Mailing Address - Phone:786-371-6689
Mailing Address - Fax:
Practice Address - Street 1:4731 ESSEX AVE
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5549
Practice Address - Country:US
Practice Address - Phone:786-371-6689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00173282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry