Provider Demographics
NPI:1912023623
Name:STEED, CARL ALAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:ALAN
Last Name:STEED
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 ONSLOW DRIVE
Mailing Address - Street 2:UNIT 100 - PO BOX 7284
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-2284
Mailing Address - Country:US
Mailing Address - Phone:910-378-7669
Mailing Address - Fax:910-939-2186
Practice Address - Street 1:2501 ONSLOW DR UNIT 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5751
Practice Address - Country:US
Practice Address - Phone:910-378-7669
Practice Address - Fax:910-939-2186
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6178103TF0200X
NC3361103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC047CAOtherBC/BS
NC6000954Medicaid
NC047CAOtherBC/BS