Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 7843 | MA |
Y | 103T00000X | Psychologist | 7843 | MA |
N | 103TC1900X | Counseling Psychologist | 7843 | MA |
NPI | 1104910918 |
---|---|
Provider Name | Dr. Elana B. Steinberg |
First Address | Jamaica Plain, MA 02130-3731 |
Second Address | Dorchester, MA 02125-2322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 05/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1104910918 | NPI (01) | MA |