Provider Demographics
NPI:1679345466
Name:REBECCA TRUMBLE-CRIVELLO
Entity Type:Organization
Organization Name:REBECCA TRUMBLE-CRIVELLO
Other - Org Name:BECKY CRIVELLO, SLP JOIN THE CONVERSATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUMBLE-CRIVELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-381-3256
Mailing Address - Street 1:231 EAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-8511
Mailing Address - Country:US
Mailing Address - Phone:863-381-3256
Mailing Address - Fax:863-382-0585
Practice Address - Street 1:231 EAGLE AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-8511
Practice Address - Country:US
Practice Address - Phone:863-381-3256
Practice Address - Fax:863-382-0585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty