Healthcare Provider Details

I. General information

NPI: 1497594485
Provider Name (Legal Business Name): MYAH STEFFEN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 BIELBY RD STE 101
LAWRENCEBURG IN
47025-1099
US

IV. Provider business mailing address

40 N GRAND AVE STE 103
FORT THOMAS KY
41075-1765
US

V. Phone/Fax

Practice location:
  • Phone: 859-781-4900
  • Fax: 859-572-3039
Mailing address:
  • Phone: 859-781-4900
  • Fax: 859-572-3039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number292057
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number23002850A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: