Provider Demographics
NPI:1689792707
Name:STEFFENSEN, ALISON A (PSYD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:A
Last Name:STEFFENSEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:A
Other - Last Name:BELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:137 N COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-6646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:137 N COTTONWOOD STREET
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695
Practice Address - Country:US
Practice Address - Phone:916-459-0654
Practice Address - Fax:530-666-8633
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22381103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist