Individual
MRS. REBECCA MOYER PALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, ATP
Contact information
Practice address
3009 NICOSH CIR UNIT 4105, FALLS CHURCH, VA 22042-1240
(301) 873-1365
Mailing address
3009 NICOSH CIR UNIT 4105, FALLS CHURCH, VA 22042-1240
(301) 873-1365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004946
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202004946
SPEECH-LANGUAGE PATHOLOGY LICENSE FOR COMMONWEALTH OF VIRGINIA
VA
01
—
SLP000235
DISTRICT OF COLUMBIA LICENSURE FOR SPEECH-LANGUAGE PATHOLOGY
DC
Enumeration date
06/30/2009
Last updated
01/24/2011
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