Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 441 | MA |
N | 103G00000X | Clinical Psychologist | 441 | MA |
N | 103TC0700X | Clinical Psychologist | 441 | MA |
NPI | 1114071784 |
---|---|
Provider Name | Brenda Miriam Steinberg |
First Address | Cambridge, MA 02140-2716 |
Second Address | Cambridge, MA 02140-2716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
W01558 | BCBSPROVIDER NUMBER (01) | MA |