Provider Demographics
NPI:1649257049
Name:STEED, EDWARD J (MA, CCC-A)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:STEED
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-0350
Mailing Address - Country:US
Mailing Address - Phone:425-358-0956
Mailing Address - Fax:877-481-6931
Practice Address - Street 1:311 RIVER RD
Practice Address - Street 2:STE. 103
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-4113
Practice Address - Country:US
Practice Address - Phone:253-845-3191
Practice Address - Fax:253-845-3271
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00003919231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1086766Medicaid
WA1086766Medicaid