Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1630 | AL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 293257-2501 | UT |
NPI | 1053557249 |
---|---|
Provider Name | Dr. Michael M Steele |
First Address | Columbus, GA 31903-2834 |
Second Address | Columbus, GA 31903-2834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2008 |
Last Update Date | 13/03/2014 |