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DR. MICHAEL ROBERT DE RIESTHAL PH.D NPI 1124103981


NPI Information

NPI: 1124103981
Provider Name: DR. MICHAEL ROBERT DE RIESTHAL, PH.D
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1601 SW ARCHER RD
NEUROLOGY SERVICE (127)
GAINESVILLE, FL
ZIP 32608
Phone: (352) 376-1611
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DR. Michael Robert De Riesthal, PH.D is a speech language pathologist in Gainesville, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. DR. Michael Robert De Riesthal, PH.D NPI is 1124103981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 SW ARCHER RD
NEUROLOGY SERVICE (127)
GAINESVILLE, FL
ZIP 32608-135
Phone: (352) 376-1611

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSA 6898FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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