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NPI Code Detail

MEDICARE: DR. JEANNE MARIE STEFFEN PH.D.

MEDICARE: DR. JEANNE MARIE STEFFEN PH.D.
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
1103T00000XPsychologist5395NC
2103TC1900XCounseling PsychologistPSY-202318ID

General Provider Information

NPI Number : 1386760569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNE MARIE STEFFEN PH.D.
Provider Business Mailing Address
First Line : 1112 KUDZU ST
Second Line :
City : DURHAM
State : NC
Zip : 27713-2573
Country : US
Telephone Number : 208-596-5947
Fax Number :
Provider Business Practice Location Address
First Line : 6110 FALCONBRIDGE RD STE 100
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-7875
Country : US
Telephone Number : 919-401-9933
Fax Number : 919-402-0249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 12/21/2018

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