Provider Demographics
NPI:1265624217
Name:STEFFEN, NATALIE LOUISE (LEP, MED)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LOUISE
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:LEP, MED
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:LOUISE
Other - Last Name:RUBINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:302 VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2506
Mailing Address - Country:US
Mailing Address - Phone:925-386-6034
Mailing Address - Fax:
Practice Address - Street 1:302 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2506
Practice Address - Country:US
Practice Address - Phone:925-386-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2022-07-21
Deactivation Date:2011-06-28
Deactivation Code:
Reactivation Date:2016-03-14
Provider Licenses
StateLicense IDTaxonomies
103TS0200X
CALEP3587103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool