Individual
DR. THERESA TUCKER STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1061 HARMON AVE, STE. 1D03, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5674
(912) 767-7301
(912) 767-7303
Mailing address
1061 HARMON AVE, STE. 1D03, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5674
(912) 767-7301
(912) 767-7303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2798
NC
103TC0700X
Clinical Psychologist
Primary
2798
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0454U
BCBS PRIVATE PRACTICE
NC
01
—
046RU
BCBS
NC
05
—
6000461
—
NC
05
—
6000699
—
NC
01
—
D6944
MEDCOST PRIVATE PRACTICE
NC
Enumeration date
01/04/2006
Last updated
09/16/2010
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