Individual provider · Type 1 NPI
Kelly Nicole Genberg
Speech-Language Assistant · Redondo Beach, CA
NPI number
1437799129
Active
Practice location
2850 Artesia Blvd
Redondo Beach, CA 90278-3419
Mailing address
3510 N El Dorado Dr
Long Beach, CA 90808-3207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
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About NPI 1437799129
Kelly Nicole Genberg's National Provider Identifier is 1437799129, issued on Jan 9, 2020. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Redondo Beach, CA. The record was last updated on Jan 9, 2020.