Provider Demographics
NPI:1942799507
Name:STEINBERG, MADELINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:
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 1:5 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1804
Mailing Address - Country:US
Mailing Address - Phone:781-771-0567
Mailing Address - Fax:
Practice Address - Street 1:5 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1804
Practice Address - Country:US
Practice Address - Phone:781-771-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6387103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical