Provider Demographics
NPI:1164429312
Name:STEGER, HERBERT G (PHD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:G
Last Name:STEGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 KENESAW DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1233
Mailing Address - Country:US
Mailing Address - Phone:859-272-3432
Mailing Address - Fax:859-271-3657
Practice Address - Street 1:111 DENNIS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2916
Practice Address - Country:US
Practice Address - Phone:859-272-3432
Practice Address - Fax:859-271-3657
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY566103TC0700X
CAPSY3523103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCP00169Medicare ID - Type Unspecified
KYR62009Medicare UPIN