Basic Information
| Provider Information | |||||||||
| NPI: | 1063898336 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEEVES | ||||||||
| FirstName: | MARCIE | ||||||||
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| Credential: | MS, CGC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 185 CAMBRIDGE ST | ||||||||
| Address2: | SIMCHES 2220 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021142790 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177261562 | ||||||||
| FaxNumber: | 6177261566 | ||||||||
| Practice Location | |||||||||
| Address1: | 185 CAMBRIDGE ST | ||||||||
| Address2: | SIMCHES 2220 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021142790 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177261562 | ||||||||
| FaxNumber: | 6177261566 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2015 | ||||||||
| LastUpdateDate: | 08/10/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 170300000X | GC227 | MA | Y | Other Service Providers | Genetic Counselor, MS |
No ID Information.