MEDICARE: DR. STEPHANIE MCGUIRE AU.D

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	231H00000X	Audiologist	A01897	OH

General Provider Information

NPI Number	:	1225440423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE MCGUIRE AU.D

Provider Business Mailing Address
First Line	:	1201 CHESTNUT CT
Second Line	:
City	:	LEBANON
State	:	OH
Zip	:	45036-7720
Country	:	US
Telephone Number	:	513-807-0140
Fax Number	:

Provider Business Practice Location Address
First Line	:	2165 MIAMISBURG CENTERVILLE RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3814
Country	:	US
Telephone Number	:	937-293-7877
Fax Number	:

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

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	10/31/2024

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