Provider Demographics
NPI:1447391388
Name:STEINER, BRIAN JAMES (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JAMES
Last Name:STEINER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 E MAIN ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-4932
Mailing Address - Country:US
Mailing Address - Phone:641-844-1200
Mailing Address - Fax:641-844-1204
Practice Address - Street 1:16 E MAIN ST
Practice Address - Street 2:SUITE 240
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4932
Practice Address - Country:US
Practice Address - Phone:641-844-1200
Practice Address - Fax:641-844-1204
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00686103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1136937Medicaid
IAR03208Medicare UPIN
IA1136937Medicaid