Tracey L Siebold, M,S., CCC/SLP, CED
NPI #1023294824 in Corpus Christi, Texas
Provider Information
- NPI Number
- 1023294824
- Entity Type
- Individual
- Name
- Tracey L Siebold, M,S., CCC/SLP, CED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M,S., CCC/SLP, CED
- Enumeration Date
- Jan 11, 2008
- Last Updated
- Oct 5, 2022
Practice Location
- Address
- 4202 HERMOSA DR
- City
- Corpus Christi
- State
- Texas
- ZIP Code
- 78411-4535
- Phone
- (361) 728-9192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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