Individual
KELLY LYN NIEBERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2433 ROLFES RD, MARIA STEIN, OH 45860-9708
(937) 368-7847
Mailing address
2433 ROLFES RD, MARIA STEIN, OH 45860-9708
(419) 733-3228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10346
OH
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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