Organization
HENRY STEINBERGER PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY STEINBERGER PH.D. (LICENSED PSYCHOLOGIST)
(608) 238-3894
Entity
Organization
Contact information
Practice address
313 PRICE PL, SUITE 209, MADISON, WI 53705-3262
(608) 238-3894
(608) 238-3896
Mailing address
313 PRICE PL, SUITE 209, MADISON, WI 53705-3299
(608) 238-3894
(608) 238-3896
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1285-057
WI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1285-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285-057
PSYCHOLOGY LICENSE
WI
05
—
1487688859
—
WI
01
—
WI2746
MEDICARE PTAN ORGANIZATION
WI
01
—
WI27460001
MEDICARE PTAN
WI
Enumeration date
05/21/2012
Last updated
12/07/2016
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