Tracey L Siebold, M,S, CCC/SLP, CED | |
4202 Hermosa Dr, Corpus Christi, TX 78411-4535 | |
(361) 728-9192 | |
(361) 334-1136 |
Full Name | Tracey L Siebold |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4202 Hermosa Dr, Corpus Christi, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023294824 | NPI | - | NPPES |
1023294824 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 19676 (Texas) | Primary |
Provider Name | A Place For Speech |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366957987 PECOS PAC ID: 8426319112 Enrollment ID: O20180220001755 |
Mailing Address | Practice Location Address |
---|---|
Tracey L Siebold, M,S, CCC/SLP, CED Po Box 271416, Corpus Christi, TX 78427-1416 Ph: (361) 334-1136 | Tracey L Siebold, M,S, CCC/SLP, CED 4202 Hermosa Dr, Corpus Christi, TX 78411-4535 Ph: (361) 728-9192 |
Mrs. Kelley Cook Mailhes, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Louisiana Ave, Corpus Christi, TX 78404 Phone: 361-853-0488 Fax: 361-843-0489 | |
Amanda Marie Philen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2505 Waldron Rd, Corpus Christi, TX 78418 Phone: 361-694-9650 | |
Sarah Kathyrn Rodriguez, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 631-694-5000 | |
Terri L Sutphin, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Louisiana Ave. , Ste #402, Corpus Christi, TX 78404 Phone: 361-853-0488 | |
Sarah Courtney Gleinser, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 631-694-5000 | |
Karen Scot Ferguson, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7102 Taos Dr, Corpus Christi, TX 78413 Phone: 361-808-7747 |