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NPI Code Detail

MEDICARE: KELSIE RIEBEL M.A., CCC-SLP

MEDICARE: KELSIE RIEBEL M.A., 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
1252Y00000XEarly Intervention Provider Agency
2235Z00000XSpeech-Language PathologistSA15229FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427580885
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE RIEBEL M.A., CCC-SLP
Provider Business Mailing Address
First Line : 805 BILL BECK BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-4434
Country : US
Telephone Number : 407-744-6355
Fax Number :
Provider Business Practice Location Address
First Line : 805 BILL BECK BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-4434
Country : US
Telephone Number : 407-744-6355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 12/19/2024

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Directions to “ KELSIE RIEBEL M.A., CCC-SLP” Practice Location

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