Provider Demographics
NPI:1356336408
Name:STEINBERG, LOIS R (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:R
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2160
Mailing Address - Country:US
Mailing Address - Phone:973-625-8522
Mailing Address - Fax:973-625-8591
Practice Address - Street 1:25 ORCHARD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2173
Practice Address - Country:US
Practice Address - Phone:973-625-8522
Practice Address - Fax:973-625-8591
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2379103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ641744Medicare ID - Type Unspecified