Provider Demographics
NPI:1508085408
Name:STEINFELD, ALICE
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:STEINFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8191 E BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-2492
Mailing Address - Country:US
Mailing Address - Phone:520-886-7065
Mailing Address - Fax:
Practice Address - Street 1:6375 E TANQUE VERDE RD
Practice Address - Street 2:SUITE 140
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3852
Practice Address - Country:US
Practice Address - Phone:520-885-4679
Practice Address - Fax:520-296-9556
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1301101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health