Healthcare Provider Details

I. General information

NPI: 1578636585
Provider Name (Legal Business Name): STEVEN J HUFF PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 E ROOSEVELT ST
PHOENIX AZ
85008-4948
US

IV. Provider business mailing address

PO BOX 5177
PHOENIX AZ
85010-5177
US

V. Phone/Fax

Practice location:
  • Phone: 602-344-5651
  • Fax: 602-344-5578
Mailing address:
  • Phone: 602-344-5651
  • Fax: 602-344-5578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA1406
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: