Ciavaglia, Kelsea F

Ciavaglia, Kelsea F is an sole proprietor health care provider with primary practice located at 1617 Park Place Ave Suite 110, Fort Worth TX 76110-1300. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Ciavaglia, Kelsea F can be contacted via phone (817) 921-5020.

Contact Information

Primary practice address
1617 Park Place Ave Suite 110 Fort Worth TX 76110-1300
Phone: (817) 921-5020
Fax: (817) 921-5022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 35937 Texas

Profile Details

NPI number 1891090700
LBN Legal business name Ciavaglia, Kelsea F
Credentials A-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2011
Last updated Jan 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891090700 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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