Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | ||
Y | 103TC0700X | Clinical Psychologist | ||
N | 103G00000X | Clinical Psychologist | 5972150-2501 | UT |
N | 103TC0700X | Clinical Psychologist | 5972150-2501 | UT |
N | 103TR0400X | Rehabilitation Psychologist | 5972150-2501 | UT |
NPI | 1558542118 |
---|---|
Provider Name | Dr. Marc Andrew Steed |
First Address | Provo, UT 84603-0270 |
Second Address | Provo, UT 84606-3554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2007 |
Last Update Date | 17/04/2019 |