MEDICARE: MICHELLE D. ZEIBER-TOBIAS MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA7186	FL

General Provider Information

NPI Number	:	1831350685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE D. ZEIBER-TOBIAS MS, CCC-SLP

Provider Business Mailing Address
First Line	:	6424 BLUE BAY CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7250
Country	:	US
Telephone Number	:	561-523-0259
Fax Number	:	561-966-6402

Provider Business Practice Location Address
First Line	:	6424 BLUE BAY CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7250
Country	:	US
Telephone Number	:	561-523-0259
Fax Number	:	561-966-6402

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	06/24/2008

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