Provider Demographics
NPI:1902219660
Name:STEINER, JENNIFER LEAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LEAH
Last Name:STEINER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:LEAH
Other - Last Name:STEINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:3522 ASHFORD DUNWOODY RD NE # 101
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-2002
Mailing Address - Country:US
Mailing Address - Phone:404-939-5030
Mailing Address - Fax:
Practice Address - Street 1:3522 ASHFORD DUNWOODY RD NE
Practice Address - Street 2:#101
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-2002
Practice Address - Country:US
Practice Address - Phone:404-939-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003829103TH0004X
103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth