Provider Demographics
NPI:1558092007
Name:STEELE, STEPHANIE JARVI (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:JARVI
Last Name:STEELE
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 1:10 ELM STREET BASS HALL PSYCHOLOGY DEPARTMENT
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01063-0001
Mailing Address - Country:US
Mailing Address - Phone:714-675-4322
Mailing Address - Fax:
Practice Address - Street 1:10 ELM STREET BASS HALL PSYCHOLOGY DEPARTMENT
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01063-0001
Practice Address - Country:US
Practice Address - Phone:714-675-4322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11480103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical