MEDICARE: DR. JULIE ANNE STEENO PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904007343	VA
2	1041C0700X	Clinical Social Worker	0003106	FL

General Provider Information

NPI Number	:	1194040741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE ANNE STEENO PHD

Provider Business Mailing Address
First Line	:	377 RIVER FOREST RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3288
Country	:	US
Telephone Number	:	757-965-5228
Fax Number	:

Provider Business Practice Location Address
First Line	:	377 RIVER FOREST RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3288
Country	:	US
Telephone Number	:	757-965-5228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	04/06/2010

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