Provider Demographics
NPI:1922146463
Name:STEINBERG, JEFFRY DAVID (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JEFFRY
Middle Name:DAVID
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-2538
Mailing Address - Country:US
Mailing Address - Phone:203-791-0054
Mailing Address - Fax:203-797-9921
Practice Address - Street 1:93 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-2538
Practice Address - Country:US
Practice Address - Phone:203-791-0054
Practice Address - Fax:203-797-9921
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT000616106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist