Healthcare Provider Details
I. General information
NPI: 1083873921
Provider Name (Legal Business Name): ANDREA R STEINBERGER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2708 CRAWFIS BLVD
FAIRLAWN OH
44333-2850
US
IV. Provider business mailing address
2708 CRAWFIS BLVD
FAIRLAWN OH
44333-2850
US
V. Phone/Fax
- Phone: 330-869-6673
- Fax: 330-864-3270
- Phone: 330-869-6673
- Fax: 330-864-3270
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | A00251 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: