Provider Demographics
NPI:1093987315
Name:SEILKOP, RHONDA S (SA)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:S
Last Name:SEILKOP
Suffix:
Gender:F
Credentials:SA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W RICH AVE
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-4128
Mailing Address - Country:US
Mailing Address - Phone:386-255-4568
Mailing Address - Fax:386-252-3403
Practice Address - Street 1:320 W RICH AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-4128
Practice Address - Country:US
Practice Address - Phone:386-255-4568
Practice Address - Fax:386-252-3403
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9393235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist