MEDICARE: MICHAEL LELAND DUNNE STEECE LMFT

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	106H00000X	Marriage & Family Therapist	35002446A	IN

General Provider Information

NPI Number	:	1750960399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LELAND DUNNE STEECE LMFT

Provider Business Mailing Address
First Line	:	609 AIRPORT NORTH OFFICE PARK
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-6706
Country	:	US
Telephone Number	:	260-336-2641
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 AIRPORT NORTH OFFICE PARK
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-6706
Country	:	US
Telephone Number	:	260-336-2641
Fax Number	:

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

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	12/03/2024

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