Individual
REBECCA POLITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8060
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3832 - 154
WI
235Z00000X
Speech-Language Pathologist
LL00004193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8448953
—
WA
Enumeration date
11/27/2006
Last updated
08/07/2013
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