Individual
ANDREA SEIBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5449 LAKE POWELL DR, FORT WORTH, TX 76137-4341
(817) 605-7544
Mailing address
PO BOX 716, KELLER, TX 76244-0716
(817) 605-7544
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80069
TX
Other
Enumeration date
09/30/2009
Last updated
06/21/2013
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