Healthcare Provider Details

I. General information

NPI: 1487688859
Provider Name (Legal Business Name): HENRY STEINBERGER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 ETON RDG
MADISON WI
53726-5306
US

IV. Provider business mailing address

PO BOX 5183
MADISON WI
53705-0183
US

V. Phone/Fax

Practice location:
  • Phone: 608-692-0337
  • Fax: 608-352-8836
Mailing address:
  • Phone: 608-692-0337
  • Fax: 608-352-8836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number1285-057
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1285-057
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1285-057
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: