Provider Demographics
NPI:1316333263
Name:HARRY A STEINMEYER III PSYD LCSW
Entity type:Organization
Organization Name:HARRY A STEINMEYER III PSYD LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEINMEYER
Authorized Official - Suffix:III
Authorized Official - Credentials:PSYD, LCSW
Authorized Official - Phone:407-754-4690
Mailing Address - Street 1:1200 VAN ARSDALE ST
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9279
Mailing Address - Country:US
Mailing Address - Phone:407-754-4690
Mailing Address - Fax:407-366-7966
Practice Address - Street 1:1200 VAN ARSDALE ST
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9279
Practice Address - Country:US
Practice Address - Phone:407-754-4690
Practice Address - Fax:407-366-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW39211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6895Medicare UPIN