Kreeb, Shelby Nicole

Kreeb, Shelby Nicole is an individual health care provider with primary practice located at 138 16Th Ave N , St Petersburg FL 33704-4513. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Kreeb, Shelby Nicole can be contacted via phone (614) 940-4428.

Contact Information

Primary practice address
138 16Th Ave N St Petersburg FL 33704-4513
Phone: (614) 940-4428
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1952896722
LBN Legal business name Kreeb, Shelby Nicole
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Mar 29th, 2021 - about 3 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 1952896722 NPPES
Florida MEDICAID 109385200

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