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NPI Code Detail

MEDICARE: EDWARD J STEED M.A, CCC-A

MEDICARE:   EDWARD J STEED  M.A, CCC-A
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
1231H00000XAudiologistLD00003919WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649257049
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD J STEED M.A, CCC-A
Provider Business Mailing Address
First Line : PO BOX 350
Second Line :
City : MAPLE VALLEY
State : WA
Zip : 98038-0350
Country : US
Telephone Number : 425-358-0956
Fax Number : 877-481-6931
Provider Business Practice Location Address
First Line : 311 RIVER RD
Second Line : STE. 103
City : PUYALLUP
State : WA
Zip : 98371-4113
Country : US
Telephone Number : 253-845-3191
Fax Number : 253-845-3271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 07/22/2016

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Directions to “ EDWARD J STEED M.A, CCC-A” Practice Location

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