Provider Demographics
NPI:1073632121
Name:STEINLE, HEATHER SUZANNE (AUD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:SUZANNE
Last Name:STEINLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 N E ST
Mailing Address - Street 2:SUITE 239
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-6339
Mailing Address - Country:US
Mailing Address - Phone:850-432-3467
Mailing Address - Fax:850-434-2308
Practice Address - Street 1:1717 N E ST
Practice Address - Street 2:SUITE 239
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6339
Practice Address - Country:US
Practice Address - Phone:850-432-3467
Practice Address - Fax:850-434-2308
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1087231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS001COtherBCBSFL
FL600328100Medicaid