Individual
MRS. REBECCA FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 658-3870
Mailing address
329 JOPLIN ST, VERMILLION, SD 57069-7057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1123-SLP
SD
235Z00000X
Speech-Language Pathologist
146.014863
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14174855
AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION
—
01
—
146.014863
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
01/23/2023
Last updated
01/23/2023
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