Provider Demographics
NPI:1588682322
Name:STEINER, JOSEPH MARK (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MARK
Last Name:STEINER
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 1:14429 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4662
Mailing Address - Country:US
Mailing Address - Phone:216-371-0177
Mailing Address - Fax:
Practice Address - Street 1:14429 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4662
Practice Address - Country:US
Practice Address - Phone:216-371-0177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4956103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical