Healthcare Provider Details

I. General information

NPI: 1821358185
Provider Name (Legal Business Name): HENRY STEINBERGER PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 12/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 PRICE PL SUITE 209
MADISON WI
53705-3262
US

IV. Provider business mailing address

313 PRICE PL SUITE 209
MADISON WI
53705-3299
US

V. Phone/Fax

Practice location:
  • Phone: 608-238-3894
  • Fax: 608-238-3896
Mailing address:
  • Phone: 608-238-3894
  • Fax: 608-238-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1285-057
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number1285-057
License Number StateWI

VIII. Authorized Official

Name: DR. HENRY STEINBERGER
Title or Position: LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 608-238-3894