Provider Demographics
NPI:1023227246
Name:STEINBERG, LORI RAE (PSYD LMFT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:RAE
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:PSYD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 WILSHIRE BLVD
Mailing Address - Street 2:STE 310
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401
Mailing Address - Country:US
Mailing Address - Phone:310-588-5261
Mailing Address - Fax:310-917-2274
Practice Address - Street 1:530 WILSHIRE BLVD
Practice Address - Street 2:STE 310
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401
Practice Address - Country:US
Practice Address - Phone:310-588-5261
Practice Address - Fax:310-917-2274
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39116106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MHS580710OtherVALUE OPTIONS