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General NPI Number Information
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NPI Number | 1972503514
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Entity Type | Individual
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Provider Name | ERIC ALAN STECKLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 3601 PICKETT RD UNIT 2314
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City | FAIRFAX
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State | VA
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Zip | 22031-8115
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Country | US
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Telephone | 571-266-9876
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 HAMILTON DR
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City | FAIRFAX
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State | VA
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Zip | 22031-3038
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Country | US
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Telephone | 703-280-2272
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Fax | 703-280-1711
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101029767
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 114316
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101029767
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License Number State | VA
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