Basic Information
Provider Information
NPI: 1346471166
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEELMAN
FirstName: LYNDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 STATE ST STE 103
Address2: SUITE D
City: ERIE
State: PA
PostalCode: 165071450
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1029 LIBERTY ST
Address2: SUITE D
City: FRANKLIN
State: PA
PostalCode: 163231242
CountryCode: US
TelephoneNumber: 8144377266
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/28/2009
LastUpdateDate: 05/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XAT006129PAY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


Home