Provider Demographics
NPI:1164459780
Name:STEEPY, SUSAN D (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:D
Last Name:STEEPY
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 1:2617 B 12TH CT. SW SUITE 5
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-5714
Mailing Address - Country:US
Mailing Address - Phone:360-753-5361
Mailing Address - Fax:360-352-7881
Practice Address - Street 1:2617 B 12TH CT. SW SUITE 5
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-5714
Practice Address - Country:US
Practice Address - Phone:360-753-5361
Practice Address - Fax:360-352-7881
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001781103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG115000853Medicare PIN