Provider Demographics
NPI:1194243071
Name:STEELE, JOAN ELIZABETH (MS, CCC-SLP/L)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ELIZABETH
Last Name:STEELE
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 WIDES RD
Mailing Address - Street 2:
Mailing Address - City:MURPHYSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62966-5668
Mailing Address - Country:US
Mailing Address - Phone:618-687-3006
Mailing Address - Fax:
Practice Address - Street 1:115 S 8TH ST
Practice Address - Street 2:
Practice Address - City:ELKVILLE
Practice Address - State:IL
Practice Address - Zip Code:62932-1032
Practice Address - Country:US
Practice Address - Phone:618-687-3006
Practice Address - Fax:618-687-3006
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.004098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist