| Doctor Name: | KEY JACKLYN DUBBELD |
| NPI Number: | 1023034659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S-SLP |
| License Number: | SA7540 |
| Business Practice Address: | 3364 Antigua Ln Unit 102 Tampa, FL - 336142240 |
| Business Phone Number: | 8139151171 |
| Business Fax Number: | 8139326368 |
| Mailing Address: | 3364 Antigua Ln, Unit 102 TAMPA |
| State: | FL |
| Postal Code: | 336142240 |
| Phone Number: | 8139151171 |
| Fax Number: | 8139326368 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 03/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA7540 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |