Provider Demographics
NPI:1487684668
Name:HOUSE, STEVEN C (PHD, HSPP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:HOUSE
Suffix:
Gender:M
Credentials:PHD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 MIDDLE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-4426
Mailing Address - Country:US
Mailing Address - Phone:812-378-4428
Mailing Address - Fax:812-378-4427
Practice Address - Street 1:3220 MIDDLE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4426
Practice Address - Country:US
Practice Address - Phone:812-378-4428
Practice Address - Fax:812-378-4427
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040848A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical