KELLY R SEBOLD (NPI# 1316072028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316072028 |
| Entity Type | Individual |
| Full Name | KELLY R SEBOLD |
| Credential | MA CCC-SLP |
| Practice Address |
1600 3rd Ave Longview WA 98632-3231 |
| Practice Telephone | 3604259810 |
| Practice Fax Number | 3604251053 |
| Mailing Telephone | 3604259810 |
| Mailing Fax Number | 3604251053 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | LL00001976 | WA | Speech, Language and Hearing Service Providers |
| Street Address |
1600 3RD AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809636 | Progress Center,inc | Speech-Language Pathologist | 1600 3rd Ave, Longview, WA 98632-3231 | 2007-01-23 |
| 1760048854 | Heidi Jane Furth | Occupational Therapist | 1600 3rd Ave, Longview, WA 98632-3231 | 2019-05-14 |
| 1326526880 | Julie Doherty | Speech-Language Pathologist | 1600 3rd Ave, Longview, WA 98632-3231 | 2018-08-06 |
| 1679093710 | Kailey Marie Falcon | Speech-Language Pathologist | 1600 3rd Ave, Longview, WA 98632-3231 | 2017-06-20 |
| 1972978542 | Benjamin Fenison | Occupational Therapist | 1600 3rd Ave, Longview, WA 98632-3231 | 2015-12-08 |
| 1528401148 | Kylie Ann Longley | Specialist | 1600 3rd Ave, Longview, WA 98632-3231 | 2013-04-12 |
| 1093015570 | Nicole D Milhauser | Specialist | 1600 3rd Ave, Longview, WA 98632-3231 | 2010-10-29 |
| 1336305515 | Rachel A Dille | Speech-Language Pathologist | 1600 3rd Ave, Longview, WA 98632-3231 | 2008-08-06 |
| 1649305368 | Lori Jean Schmidt | Specialist | 1600 3rd Ave, Longview, WA 98632-3231 | 2007-02-22 |
| 1922133628 | Teresa K Lewis | Speech-Language Pathologist | 1600 3rd Ave, Longview, WA 98632-3231 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337471 | Anna Reyes | Speech-Language Pathologist | 105 Heston St, Longview, TX 75604-1139 | 2020-02-12 |
| 1649751702 | Jean Brinkman | Speech-Language Pathologist | 325 Tealwood Dr, Longview, TX 75605-3354 | 2018-08-27 |
| 1740771294 | Brittany Marie Barnes | Speech-Language Pathologist | 450 E Loop 281, Longview, TX 75605-7936 | 2018-05-21 |
| 1366932758 | Sarah Rainer | Speech-Language Pathologist | 3710 Keighley Dr, Longview, TX 75605-2542 | 2018-05-11 |
| 1306351572 | Nancy Jo Taylor | Speech-Language Pathologist | 111 Katy St, Longview, TX 75605-6169 | 2017-12-09 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1598280604 | Madeline Hand | Speech-Language Pathologist | 115 Oak Isle Dr, Longview, TX 75605-7523 | 2017-08-09 |
| 1285155978 | Hope Meador | Speech-Language Pathologist | 1310 Evergreen St, Longview, TX 75605-1926 | 2017-07-03 |
| 1487101895 | Carla J. Gentry | Speech-Language Pathologist | 2738 Field St, Longview, WA 98632-2015 | 2016-09-01 |
| 1902275266 | Feasible Solutions, LLC | Speech-Language Pathologist | 1809 W Loop 281 Ste 100, Longview, TX 75604-2522 | 2015-09-17 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.