Provider Demographics
NPI:1205476058
Name:STEELE, ARETHA L (PSYD)
Entity type:Individual
Prefix:DR
First Name:ARETHA
Middle Name:L
Last Name:STEELE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10310 ORLAND PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5604
Mailing Address - Country:US
Mailing Address - Phone:708-497-9098
Mailing Address - Fax:
Practice Address - Street 1:10310 ORLAND PKWY STE 201
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5604
Practice Address - Country:US
Practice Address - Phone:708-497-9098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071010226103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical