Provider Demographics
NPI:1982010005
Name:STEUBER, LUCAS (MS CCC/SLP, MA-T)
Entity Type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:STEUBER
Suffix:
Gender:M
Credentials:MS CCC/SLP, MA-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 POR LA MAR CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3788
Mailing Address - Country:US
Mailing Address - Phone:805-280-8432
Mailing Address - Fax:
Practice Address - Street 1:309 POR LA MAR CIR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3788
Practice Address - Country:US
Practice Address - Phone:805-280-8432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60675062235Z00000X
WA531606B235Z00000X
OR015323235Z00000X
14059940235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14059940OtherAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION