Provider Demographics
NPI:1740327733
Name:SOBELMAN, STEVEN A (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:SOBELMAN
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 1:1420 KEY HWY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5116
Mailing Address - Country:US
Mailing Address - Phone:410-230-7828
Mailing Address - Fax:410-230-7806
Practice Address - Street 1:1420 KEY HWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5116
Practice Address - Country:US
Practice Address - Phone:410-230-7828
Practice Address - Fax:410-230-7806
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1056103TF0000X, 103T00000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy