Provider Demographics
NPI:1053925685
Name:DAVIA STEINBERG OGG, PH.D., LLC
Entity type:Organization
Organization Name:DAVIA STEINBERG OGG, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVIA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:STEINBERG OGG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-417-0798
Mailing Address - Street 1:4587 CAMERON CIR
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-9407
Mailing Address - Country:US
Mailing Address - Phone:734-417-0798
Mailing Address - Fax:
Practice Address - Street 1:300 N 5TH AVE STE 230
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5504
Practice Address - Country:US
Practice Address - Phone:734-215-5366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty