Provider Demographics
NPI:1720397078
Name:STEPWISE
Entity Type:Organization
Organization Name:STEPWISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST SCHOOL PSYCH
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD ABSNP
Authorized Official - Phone:574-273-2743
Mailing Address - Street 1:2012 IRONWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1888
Mailing Address - Country:US
Mailing Address - Phone:574-273-2743
Mailing Address - Fax:574-273-2746
Practice Address - Street 1:2012 IRONWOOD CIR
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1888
Practice Address - Country:US
Practice Address - Phone:574-273-2743
Practice Address - Fax:574-273-2746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty