Provider Demographics
NPI:1518014059
Name:STEINBERG, NEIL B (PHD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:B
Last Name:STEINBERG
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 1:874 GRAVENSTEIN HIGHWAY SOUTH
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4122
Mailing Address - Country:US
Mailing Address - Phone:707-874-2409
Mailing Address - Fax:
Practice Address - Street 1:874 GRAVENSTEIN HIGHWAY SOUTH
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4122
Practice Address - Country:US
Practice Address - Phone:707-874-2409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5136103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist