Provider Demographics
NPI:1306286810
Name:BORNSTEIN, STEVE PETER (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:PETER
Last Name:BORNSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 BOW ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3854
Mailing Address - Country:US
Mailing Address - Phone:603-978-2307
Mailing Address - Fax:
Practice Address - Street 1:121 BOW ST
Practice Address - Street 2:UNIT 1
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3854
Practice Address - Country:US
Practice Address - Phone:603-978-2307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA451231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHA451OtherSTATE LICENSE