Provider Demographics
NPI:1396943700
Name:STEINER, NANCY (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:STEINER
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 1:2600 S HERITAGE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-1408
Mailing Address - Country:US
Mailing Address - Phone:920-225-7764
Mailing Address - Fax:920-225-7825
Practice Address - Street 1:2600 S HERITAGE WOODS DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-1408
Practice Address - Country:US
Practice Address - Phone:920-225-7764
Practice Address - Fax:920-225-7825
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1796-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist