MEDICARE: ROBERTA STEINHORN

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	235Z00000X	Speech-Language Pathologist	1372	MA
2	235Z00000X	Speech-Language Pathologist	006520-1	NY
3	235Z00000X	Speech-Language Pathologist	41YS00283000	NJ

General Provider Information

NPI Number	:	1831515899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTA STEINHORN

Provider Business Mailing Address
First Line	:	125 PLEASANT ST
Second Line	:	APT 610
City	:	BROOKLINE
State	:	MA
Zip	:	02446-7143
Country	:	US
Telephone Number	:	617-734-6695
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 PLEASANT ST
Second Line	:	APT 610
City	:	BROOKLINE
State	:	MA
Zip	:	02446-7143
Country	:	US
Telephone Number	:	617-734-6695
Fax Number	:

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

Provider Enumeration Date	:	03/13/2014
Last Update Date	:	03/13/2014

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Directions to “ ROBERTA STEINHORN ” Practice Location

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