Provider Demographics
NPI:1326641127
Name:RYABETS, ANASTASIYA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANASTASIYA
Middle Name:
Last Name:RYABETS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DRAGONFLY CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2610
Mailing Address - Country:US
Mailing Address - Phone:916-335-8845
Mailing Address - Fax:
Practice Address - Street 1:100 DRAGONFLY CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2610
Practice Address - Country:US
Practice Address - Phone:916-335-8845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist