Doctor Name: | ROBERT L VANDE STEEG |
NPI Number: | 1073508594 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | PSY19764 |
Business Practice Address: | 4050 Katella Ave Ste 102 Los Alamitos, CA - 907203434 |
Business Phone Number: | 5628102740 |
Business Fax Number: | |
Mailing Address: | 4050 Katella Ave, Ste 102 LOS ALAMITOS |
State: | CA |
Postal Code: | 907203434 |
Phone Number: | 5628102740 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 12/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY19764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |