Kiefer, Deidre D.

Kiefer, Deidre D. is an individual health care provider with primary practice located at 2386 Clower St Build. E, Suite 102, Snellville GA 30078-6134. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kiefer, Deidre D. can be contacted via phone (770) 985-9050.

Contact Information

Primary practice address
2386 Clower St Build. E, Suite 102 Snellville GA 30078-6134
Phone: (770) 985-9050
Fax: (770) 985-9223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 004395 Georgia

Profile Details

NPI number 1588743017
LBN Legal business name Kiefer, Deidre D.
Credentials M.S./CCC/SLP/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588743017 NPPES
Georgia MEDICAID 00816868A

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