Provider Demographics
NPI:1497969976
Name:STEIL, DENNIS A (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:A
Last Name:STEIL
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 1:120 SETTLERS MILL LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8540
Mailing Address - Country:US
Mailing Address - Phone:919-544-4254
Mailing Address - Fax:
Practice Address - Street 1:6011 FAYETTEVILLE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6248
Practice Address - Country:US
Practice Address - Phone:919-547-3794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1414103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000403Medicaid