MEDICARE: DEBORAH K STEINMANN PSYD

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
1	103TC0700X	Clinical Psychologist	2009031213	MO
2	106H00000X	Marriage & Family Therapist	2006014789	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588872295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH K STEINMANN PSYD

Provider Business Mailing Address
First Line	:	1722 S GLENSTONE AVE STE H
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-1513
Country	:	US
Telephone Number	:	417-881-9518
Fax Number	:	417-887-2051

Provider Business Practice Location Address
First Line	:	1722 S GLENSTONE AVE STE H
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-1513
Country	:	US
Telephone Number	:	417-881-9518
Fax Number	:	417-887-2051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	05/24/2011

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