Provider Demographics
NPI:1558923557
Name:STEELE, STEPHANIE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:STEELE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 BON AIR CROSSINGS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4970
Mailing Address - Country:US
Mailing Address - Phone:804-320-2310
Mailing Address - Fax:804-320-2308
Practice Address - Street 1:9100 BON AIR CROSSINGS DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4970
Practice Address - Country:US
Practice Address - Phone:804-320-2310
Practice Address - Fax:804-320-2308
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist