NPI 1104501493

Micayla M Gebby, CCCSLP

Practitioner Speech-Language Pathologist South Bend, IN

Practice location

Address: 2505 E Jefferson Blvd, South Bend, IN 46615-2635
Phone: (574) 289-4831
Mailing address: 55694 Wild Game Dr, Osceola, IN 46561-9184

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 22008338A (IN)

Other Speech-Language Pathologist providers in Indiana →

Registry record

NPI: 1104501493
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2023
Record last updated: 15 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.