Individual
MRS. REBECCA ANNE NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60211648
WA
235Z00000X
Speech-Language Pathologist
SLP004900
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508028119
—
WA
Enumeration date
06/26/2008
Last updated
10/08/2013
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