Provider Demographics
NPI:1689797417
Name:STEINBERG, MARCIA CAROL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:CAROL
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 HASKELL AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1540
Mailing Address - Country:US
Mailing Address - Phone:818-981-9688
Mailing Address - Fax:
Practice Address - Street 1:5004 HASKELL AVE
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1540
Practice Address - Country:US
Practice Address - Phone:818-981-9688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 131771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical