Provider Demographics
NPI:1568171817
Name:OVERBERGER, KALEIGH (SLPA)
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:
Last Name:OVERBERGER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 SW 78TH AVE APT 1204
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3460
Mailing Address - Country:US
Mailing Address - Phone:214-808-5469
Mailing Address - Fax:
Practice Address - Street 1:10539 ZURICH ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-4826
Practice Address - Country:US
Practice Address - Phone:305-733-3739
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL52452355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant