Provider Demographics
NPI:1912523937
Name:STEINBRECHER, TOMAS RAE
Entity Type:Individual
Prefix:
First Name:TOMAS
Middle Name:RAE
Last Name:STEINBRECHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:RAE
Other - Last Name:STEINBRECHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:81 ROBBINS ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3942
Mailing Address - Country:US
Mailing Address - Phone:508-847-5199
Mailing Address - Fax:
Practice Address - Street 1:409 LEXINGTON ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-0933
Practice Address - Country:US
Practice Address - Phone:781-647-9976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health