Individual
DONNA GAYLE KEEBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76104-1025
(682) 885-6294
(682) 885-1135
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-1383
(682) 885-6294
(682) 885-1135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19479
TX
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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