Provider Demographics
NPI:1245436484
Name:SIEBERT, STEPHEN WARNER (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:WARNER
Last Name:SIEBERT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:29 ALLEGHENY AVENUE
Mailing Address - Street 2:STE 1208
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-3919
Mailing Address - Country:US
Mailing Address - Phone:410-583-7885
Mailing Address - Fax:410-583-8178
Practice Address - Street 1:29 ALLEGHENY AVENUE
Practice Address - Street 2:STE 1208
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3919
Practice Address - Country:US
Practice Address - Phone:410-583-7885
Practice Address - Fax:410-583-8178
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD26941202C00000X, 2084F0202X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry