Provider Demographics
NPI:1962605444
Name:STEEN, RICHARD BART (HIS)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:BART
Last Name:STEEN
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 SUNWAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-7020
Mailing Address - Country:US
Mailing Address - Phone:405-733-8286
Mailing Address - Fax:
Practice Address - Street 1:6803 E RENO AVE
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-2167
Practice Address - Country:US
Practice Address - Phone:405-733-8286
Practice Address - Fax:405-732-9765
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK951237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist