Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 980 | HI |
N | 103TC0700X | Clinical Psychologist | 980 | HI |
Y | 103G00000X | Clinical Psychologist | PSY 22053 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 22053 | CA |
N | 103G00000X | Clinical Psychologist | PY5392 | FL |
N | 103TC0700X | Clinical Psychologist | PY5392 | FL |
NPI | 1003026162 |
---|---|
Provider Name | Dr. Cheryl Wilson Steed |
First Address | San Luis Obispo, CA 93403-8101 |
Second Address | San Luis Obispo, CA 93409-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 14/01/2012 |