Provider Demographics
NPI:1063821189
Name:STEER, MICHAEL (AUD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:STEER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4646 POPLAR AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4429
Mailing Address - Country:US
Mailing Address - Phone:901-762-0125
Mailing Address - Fax:901-818-3001
Practice Address - Street 1:4646 POPLAR AVE STE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4429
Practice Address - Country:US
Practice Address - Phone:901-762-0125
Practice Address - Fax:901-818-3001
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1700237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1700OtherSTATE OF TENNESSEE