Provider Demographics
NPI:1477887602
Name:STEELE, PAMELA S
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:S
Last Name:STEELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10362 LANES END CIR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-3129
Mailing Address - Country:US
Mailing Address - Phone:859-282-8030
Mailing Address - Fax:859-282-7108
Practice Address - Street 1:10362 LANES END CIR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-3129
Practice Address - Country:US
Practice Address - Phone:859-282-8030
Practice Address - Fax:859-282-7108
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency