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NPI Code Detail

MEDICARE: MS. MARSHA JO STEINBACK L.P.C.

MEDICARE: MS. MARSHA JO STEINBACK L.P.C.
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
1101YP2500XProfessional Counselor2000146833MO

General Provider Information

NPI Number : 1396886792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARSHA JO STEINBACK L.P.C.
Provider Business Mailing Address
First Line : 9 LINDWORTH LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63124-1415
Country : US
Telephone Number : 314-962-1138
Fax Number :
Provider Business Practice Location Address
First Line : 12141 LADUE RD
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-8120
Country : US
Telephone Number : 314-336-1087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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