Provider Demographics
NPI:1669572921
Name:SPLITEK, STEVE JOHN (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:JOHN
Last Name:SPLITEK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 RUTLEDGE ST
Mailing Address - Street 2:#4
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3840
Mailing Address - Country:US
Mailing Address - Phone:608-255-1054
Mailing Address - Fax:
Practice Address - Street 1:301 TROY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-1521
Practice Address - Country:US
Practice Address - Phone:608-301-1285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1550-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical