Provider Demographics
NPI:1356374573
Name:STEELWRIGHT, WILLIAM LEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LEE
Last Name:STEELWRIGHT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:W
Other - Middle Name:LEE
Other - Last Name:STEELWRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:7827 WISE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-3339
Mailing Address - Country:US
Mailing Address - Phone:410-282-7222
Mailing Address - Fax:410-282-0069
Practice Address - Street 1:7827 WISE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-3339
Practice Address - Country:US
Practice Address - Phone:410-282-7222
Practice Address - Fax:410-282-0069
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03223103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCI9225680014039OtherMEDICARE B RAILROAD
MD436L208CMedicare PIN