Provider Demographics
NPI:1265746630
Name:DELLA VECCHIA, STEVEN CHRISTIAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHRISTIAN
Last Name:DELLA VECCHIA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:DELLAVECCHIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR STEVE LLC
Mailing Address - Street 1:4272 BUCKSKIN TRL
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-3102
Mailing Address - Country:US
Mailing Address - Phone:443-253-0107
Mailing Address - Fax:
Practice Address - Street 1:1216 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2256
Practice Address - Country:US
Practice Address - Phone:443-253-0107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04800103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical