Provider Demographics
NPI:1659613917
Name:MIDDLETON, STEVEN D (MS, LPP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:D
Last Name:MIDDLETON
Suffix:
Gender:M
Credentials:MS, LPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-1281
Mailing Address - Country:US
Mailing Address - Phone:270-506-1064
Mailing Address - Fax:270-506-1193
Practice Address - Street 1:1030 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-1281
Practice Address - Country:US
Practice Address - Phone:270-506-1064
Practice Address - Fax:270-506-1193
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0034103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral