Provider Demographics
NPI:1942607809
Name:WILLIAM R. STEELE, PHD
Entity Type:Organization
Organization Name:WILLIAM R. STEELE, PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:317-577-4404
Mailing Address - Street 1:5220 E 74TH PL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2531
Mailing Address - Country:US
Mailing Address - Phone:317-577-4404
Mailing Address - Fax:
Practice Address - Street 1:5220 E 74TH PL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2531
Practice Address - Country:US
Practice Address - Phone:317-577-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001320A251S00000X
IN34003077A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health