Healthcare Provider Details

I. General information

NPI: 1144708397
Provider Name (Legal Business Name): KAREN NOEL SEIBOLDT SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 BIENVILLE BLVD
OCEAN SPRINGS MS
39564-5975
US

IV. Provider business mailing address

6589 MAUREPAS CIR
OCEAN SPRINGS MS
39564-6511
US

V. Phone/Fax

Practice location:
  • Phone: 228-300-2857
  • Fax: 228-300-9282
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: