MEDICARE: MR. STEVEN EDWARD DEAL MS. CCC

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	SLP0606	AZ

General Provider Information

NPI Number	:	1578787594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN EDWARD DEAL MS. CCC

Provider Business Mailing Address
First Line	:	3154 W TARO LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4831
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3154 W TARO LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4831
Country	:	US
Telephone Number	:	623-587-7134
Fax Number	:

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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Directions to “ MR. STEVEN EDWARD DEAL MS. CCC” Practice Location

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