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NPI Code Detail

MEDICARE: DR. MICHAEL M STEELE PH D

MEDICARE: DR. MICHAEL M STEELE PH D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent Psychologist1630AL
2103TC2200XClinical Child & Adolescent Psychologist293257-2501UT

General Provider Information

NPI Number : 1053557249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL M STEELE PH D
Provider Business Mailing Address
First Line : 1600 FORT BENNING RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31903-2834
Country : US
Telephone Number : 706-987-8254
Fax Number :
Provider Business Practice Location Address
First Line : 1600 FORT BENNING RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31903-2834
Country : US
Telephone Number : 706-987-8254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2008
Last Update Date : 03/13/2014

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