Organization
A PLACE FOR SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY L SIEBOLD MS, CCC/SLP, CED (PROVIDER)
(361) 728-9192
Entity
Organization
Contact information
Practice address
4202 HERMOSA DR, CORPUS CHRISTI, TX 78411-4535
(361) 728-9192
(361) 334-1136
Mailing address
PO BOX 271416, CORPUS CHRISTI, TX 78427-1416
(361) 334-1136
(361) 334-1574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
10/05/2022
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