Provider Demographics
NPI:1912182346
Name:STEELE, DONNA KELLEY (EDD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:KELLEY
Last Name:STEELE
Suffix:
Gender:F
Credentials:EDD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 BRIERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-5410
Mailing Address - Country:US
Mailing Address - Phone:704-929-9484
Mailing Address - Fax:704-878-6986
Practice Address - Street 1:304 BRIERWOOD RD
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5410
Practice Address - Country:US
Practice Address - Phone:704-929-9484
Practice Address - Fax:704-878-6986
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2409235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist