Provider Demographics
NPI:1528103249
Name:STEFFY, ANN THERESA (MSW)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:THERESA
Last Name:STEFFY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 OTTAWA DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-2036
Mailing Address - Country:US
Mailing Address - Phone:248-589-1341
Mailing Address - Fax:
Practice Address - Street 1:7071 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3613
Practice Address - Country:US
Practice Address - Phone:248-851-1800
Practice Address - Fax:248-851-8201
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1762694101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health