Healthcare Provider Details

I. General information

NPI: 1790605673
Provider Name (Legal Business Name): ROBERT STEENBERGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22770 HIGHLAND AVE
HAZEL PARK MI
48030-1803
US

IV. Provider business mailing address

28324 REVERE AVE
WARREN MI
48092-2456
US

V. Phone/Fax

Practice location:
  • Phone: 248-658-5200
  • Fax:
Mailing address:
  • Phone: 248-658-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberCC-AABDH0395375
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: