Healthcare Provider Details

I. General information

NPI: 1982934469
Provider Name (Legal Business Name): AUNDREA J. STEDMAN BA, TO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2010
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SCHNEIDER ST NE DOOR 6
CANTON OH
44721-3349
US

IV. Provider business mailing address

4641 FULTON DR NW
CANTON OH
44718-2384
US

V. Phone/Fax

Practice location:
  • Phone: 330-470-4061
  • Fax:
Mailing address:
  • Phone: 330-433-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE2606861
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: