Provider Demographics
NPI:1457861395
Name:S. KATHRYN STEELE, PSY.D., LC
Entity Type:Organization
Organization Name:S. KATHRYN STEELE, PSY.D., LC
Other - Org Name:S. KATHRYN STEELE, PSY.D., LC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:615-264-9313
Mailing Address - Street 1:3050 BUSINESS PARK CIR STE 203
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3588
Mailing Address - Country:US
Mailing Address - Phone:615-264-9313
Mailing Address - Fax:615-264-9314
Practice Address - Street 1:3050 BUSINESS PARK CIR STE 203
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3588
Practice Address - Country:US
Practice Address - Phone:615-264-9313
Practice Address - Fax:615-264-9314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP000002788103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty