Healthcare Provider Details

I. General information

NPI: 1265624217
Provider Name (Legal Business Name): NATALIE LOUISE STEFFEN LEP, M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALIE LOUISE RUBINI M.ED.

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date: 06/28/2011
Reactivation Date: 03/14/2016

III. Provider practice location address

302 VILLAGE SQ
ORINDA CA
94563-2506
US

IV. Provider business mailing address

302 VILLAGE SQ
ORINDA CA
94563-2506
US

V. Phone/Fax

Practice location:
  • Phone: 925-386-6034
  • Fax:
Mailing address:
  • Phone: 925-386-6034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLEP3587
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: