Individual
REBECCA WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 16TH AVE, TAKOMA PARK, MD 20912-7043
(314) 915-4566
Mailing address
7301 16TH AVE, TAKOMA PARK, MD 20912-7043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
035757
NY
235Z00000X
Speech-Language Pathologist
10172
MD
235Z00000X
Speech-Language Pathologist
SL018674
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP200001383
DC
Other
Enumeration date
10/31/2024
Last updated
09/12/2025
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