MEDICARE: DR. MERIS HANNAH STEELE PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	4296	MD

General Provider Information

NPI Number	:	1033283312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERIS HANNAH STEELE PHD

Provider Business Mailing Address
First Line	:	6103 BRYN MAWR AVE
Second Line	:
City	:	GLEN ECHO
State	:	MD
Zip	:	20812-1103
Country	:	US
Telephone Number	:	301-229-0241
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 HARVARD AVE
Second Line	:
City	:	GLEN ECHO
State	:	MD
Zip	:	20812-1114
Country	:	US
Telephone Number	:	301-951-0330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	11/08/2007

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