Individual
ANNETTE KNEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
111 SCOTT DR, WEST BRANCH, IA 52358-9683
(319) 930-7580
Mailing address
111 SCOTT DR, WEST BRANCH, IA 52358-9683
(319) 930-7580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
078269
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078269
SLP LICENSE
IA
01
—
14088591
ASHA MEMBER
IA
Enumeration date
12/08/2016
Last updated
12/08/2016
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