Provider Demographics
NPI:1902364748
Name:SEIB, MAX ROBERT (MS CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:MAX
Middle Name:ROBERT
Last Name:SEIB
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 N RICE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-8900
Mailing Address - Country:US
Mailing Address - Phone:805-988-2874
Mailing Address - Fax:
Practice Address - Street 1:961 N RICE AVE STE 3
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8900
Practice Address - Country:US
Practice Address - Phone:805-988-2874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty