MEDICARE: MRS. CARRIE ELIZABETH STEENBERGEN MS, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	KY3541	KY
2	235Z00000X	Speech-Language Pathologist	SP-7492	OH
3	235Z00000X	Speech-Language Pathologist	139139	KY

General Provider Information

NPI Number	:	1437397973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARRIE ELIZABETH STEENBERGEN MS, CCC-SLP

Provider Business Mailing Address
First Line	:	4757 CORNELL RD # 4A
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45241-7400
Country	:	US
Telephone Number	:	513-349-4919
Fax Number	:	888-316-2604

Provider Business Practice Location Address
First Line	:	4224 APPLETON ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1204
Country	:	US
Telephone Number	:	513-321-1624
Fax Number	:

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

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	05/11/2021

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Directions to “ MRS. CARRIE ELIZABETH STEENBERGEN MS, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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