Provider Demographics
NPI:1558123745
Name:STECK, SYDNEY
Entity Type:Individual
Prefix:MR
First Name:SYDNEY
Middle Name:
Last Name:STECK
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:SYD
Other - Middle Name:
Other - Last Name:STECK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:130 E SHIELDS ST APT 6
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2236
Mailing Address - Country:US
Mailing Address - Phone:937-765-6679
Mailing Address - Fax:
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker