Individual
MRS. RACHEL ANN SEIBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1254 SWISHER RD, POCATELLO, ID 83204
(208) 945-9495
Mailing address
1254 SWISHER RD, POCATELLO, ID 83204
(208) 945-9495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1928
ID
Other
Enumeration date
02/25/2009
Last updated
02/23/2010
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