Healthcare Provider Details

I. General information

NPI: 1447406483
Provider Name (Legal Business Name): MICHELE ANN GETHING CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17065 DOLPHIN DR FL 33708
NORTH REDINGTON BEACH FL
33708-1316
US

IV. Provider business mailing address

17065 DOLPHIN DR
NORTH REDINGTON BEACH FL
33708-1316
US

V. Phone/Fax

Practice location:
  • Phone: 937-336-0369
  • Fax:
Mailing address:
  • Phone: 937-336-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA19259
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: