Provider Demographics
NPI:1578982039
Name:STEELE, CAMILLE LYNN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:LYNN
Last Name:STEELE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:LYNN
Other - Last Name:BRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:836 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-2520
Mailing Address - Country:US
Mailing Address - Phone:716-644-7487
Mailing Address - Fax:716-484-8271
Practice Address - Street 1:836 FAIRMONT AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701
Practice Address - Country:US
Practice Address - Phone:585-353-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006532231H00000X
NY14000041323237600000X
NY57 002514231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter