Provider Demographics
NPI:1679373633
Name:STEADMAN, MEGAN RENAE
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RENAE
Last Name:STEADMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:RENAE
Other - Last Name:STEADMAN-GRAVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11300 SE 15TH ST APT 622
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-7818
Mailing Address - Country:US
Mailing Address - Phone:405-443-0255
Mailing Address - Fax:
Practice Address - Street 1:14828 SERENITA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2028
Practice Address - Country:US
Practice Address - Phone:405-839-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician