Provider Demographics
NPI:1841356979
Name:WEINSTEIN STEINBROOK, MARCIA LOIS (PHD)
Entity type:Individual
Prefix:PROF
First Name:MARCIA
Middle Name:LOIS
Last Name:WEINSTEIN STEINBROOK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:PROF
Other - First Name:MARCIA
Other - Middle Name:LOIS
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:47 CRESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-1252
Mailing Address - Country:US
Mailing Address - Phone:978-500-4810
Mailing Address - Fax:
Practice Address - Street 1:47 CRESTWOOD RD
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945
Practice Address - Country:US
Practice Address - Phone:978-500-4810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2018-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2820103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent