Siebold, Tracey L
Siebold, Tracey L is an sole proprietor health care provider with primary practice located at 4202 Hermosa Dr , Corpus Christi TX 78411-4535. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Siebold, Tracey L can be contacted via phone (361) 728-9192.Contact Information
Primary practice address
4202 Hermosa Dr
Corpus Christi TX 78411-4535
Phone: (361) 728-9192
Fax: (361) 334-1136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 19676 | Texas |
Profile Details
| NPI number | 1023294824 |
|---|---|
| LBN Legal business name | Siebold, Tracey L |
| Credentials | M,S., CCC/SLP, CED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Oct 5th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023294824 | NPPES |
| Texas | MEDICAID | 1023294824 |
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