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Individual

DR. TERESA R. STEPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
661 E BROADWAY BLVD, STE C, JEFFERSON CITY, TN 37760
(865) 471-0466
(865) 471-0468
Mailing address
661 E BROADWAY BLVD, STE C, JEFFERSON CITY, TN 37760
(865) 471-0466
(865) 471-0468

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1162
TN
237600000X
Audiologist-Hearing Aid Fitter

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3192943
MEDICARE PTAN
TN
05
3192943
TN
01
4091431
BLUECROSS BLUESHIELD OF T
TN
01
6889782
CIGNA HEALTHCARE
TN
01
7517644
AETNA
TN
05
Q046180
TN
Enumeration date
05/31/2005
Last updated
06/08/2023
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