Provider Demographics
NPI:1003826611
Name:STEINER, MACKENZIE SCOTT (PHD)
Entity type:Individual
Prefix:DR
First Name:MACKENZIE
Middle Name:SCOTT
Last Name:STEINER
Suffix:
Gender:F
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:PO BOX 2343
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95063-2343
Mailing Address - Country:US
Mailing Address - Phone:512-789-7055
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 2343
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95063-2343
Practice Address - Country:US
Practice Address - Phone:512-789-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35809103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical