Individual
AMY L EIBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-CLP
Contact information
Practice address
5517 PORTOLA CIR, ROCKLIN, CA 95677-2642
(978) 996-2295
Mailing address
5517 PORTOLA CIR, ROCKLIN, CA 95677-2642
(978) 996-2295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18934
CA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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