Provider Demographics
NPI:1386760569
Name:STEFFEN, JEANNE MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:MARIE
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:MARIE
Other - Last Name:BULGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1112 KUDZU ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2573
Mailing Address - Country:US
Mailing Address - Phone:208-596-5947
Mailing Address - Fax:
Practice Address - Street 1:6110 FALCONBRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7875
Practice Address - Country:US
Practice Address - Phone:919-401-9933
Practice Address - Fax:919-402-0249
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5395103T00000X
IDPSY-202318103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling