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NPI Code Detail

MEDICARE: DR. KEVIN KAVANAUGH STEEDE PH.D.

MEDICARE:  DR. KEVIN KAVANAUGH STEEDE  PH.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
1103TC0700XClinical Psychologist3807TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G57YOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1851444905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN KAVANAUGH STEEDE PH.D.
Provider Business Mailing Address
First Line : 2820 MEADOWBROOK DR
Second Line :
City : PLANO
State : TX
Zip : 75075-6431
Country : US
Telephone Number : 972-398-0944
Fax Number : 972-673-0862
Provider Business Practice Location Address
First Line : 2820 MEADOWBROOK DR
Second Line :
City : PLANO
State : TX
Zip : 75075-6431
Country : US
Telephone Number : 972-398-0944
Fax Number : 972-673-0862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KEVIN KAVANAUGH STEEDE PH.D.” Practice Location

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