Sieg, Kelly

Sieg, Kelly is an sole proprietor health care provider with primary practice located at 130 Heights Ave , Inverness FL 34452-4571. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Sieg, Kelly can be contacted via phone (352) 419-6570.

Contact Information

Primary practice address
130 Heights Ave Inverness FL 34452-4571
Phone: (352) 419-6570
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5678 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-02-0892 Florida

Profile Details

NPI number 1235484171
LBN Legal business name Sieg, Kelly
Credentials M.A.,CCC-SLP, BACB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2012
Last updated Nov 29th, 2012 - 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 1235484171 NPPES
Florida MEDICAID 887901000

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