Provider Demographics
NPI:1134586985
Name:STEUERWALD, DIXIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DIXIE
Middle Name:
Last Name:STEUERWALD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 COGSWELL ST STE C18
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-2740
Mailing Address - Country:US
Mailing Address - Phone:321-638-8802
Mailing Address - Fax:321-638-8803
Practice Address - Street 1:1535 COGSWELL ST STE C18
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2740
Practice Address - Country:US
Practice Address - Phone:321-638-8802
Practice Address - Fax:321-638-8803
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13707235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist