Provider Demographics
NPI:1659506764
Name:STEINBERG, STUART LEE (MA)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:LEE
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CHAMBERS AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-1861
Mailing Address - Country:US
Mailing Address - Phone:724-588-9561
Mailing Address - Fax:
Practice Address - Street 1:4 CHAMBERS AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-1861
Practice Address - Country:US
Practice Address - Phone:724-588-9561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003850-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical