Provider Demographics
NPI:1356407365
Name:HOERSTING, STEVEN ROBERT (MED)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ROBERT
Last Name:HOERSTING
Suffix:
Gender:M
Credentials:MED
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Mailing Address - Street 1:7000 HOUSTON RD BLDG 200
Mailing Address - Street 2:SUITE 21
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4873
Mailing Address - Country:US
Mailing Address - Phone:859-282-0180
Mailing Address - Fax:859-282-0862
Practice Address - Street 1:7000 HOUSTON RD BLDG 200
Practice Address - Street 2:SUITE 21
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4873
Practice Address - Country:US
Practice Address - Phone:859-282-0180
Practice Address - Fax:859-282-0862
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2014-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYKY0248103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1356407365OtherNPI