MEDICARE: DR. LISA STEINER 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
1	101YM0800X	Mental Health Counselor	LMHC 004670	NY
2	101YP2500X	Professional Counselor	LPC 37PC00373500	NJ

General Provider Information

NPI Number	:	1659595601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA STEINER PH.D.

Provider Business Mailing Address
First Line	:	22-08 ROUTE 208
Second Line	:	SUITE 16
City	:	FAIR LAWN
State	:	NJ
Zip	:	07410-2609
Country	:	US
Telephone Number	:	201-532-5709
Fax Number	:	201-956-6026

Provider Business Practice Location Address
First Line	:	22-08 STATE RT 208
Second Line	:	SUITE 16
City	:	FAIR LAWN
State	:	NJ
Zip	:	07410-2609
Country	:	US
Telephone Number	:	201-956-6363
Fax Number	:	201-956-6026

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	03/09/2014

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