Healthcare Provider Details

I. General information

NPI: 1225440423
Provider Name (Legal Business Name): STEPHANIE MCGUIRE AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 MIAMISBURG CENTERVILLE RD
DAYTON OH
45459-3814
US

IV. Provider business mailing address

1201 CHESTNUT CT
LEBANON OH
45036-7720
US

V. Phone/Fax

Practice location:
  • Phone: 937-293-7877
  • Fax:
Mailing address:
  • Phone: 513-807-0140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA01897
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: