Individual
REBEKAH L. DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
811 FAIRFAX ST, CARLYLE, IL 62231-1809
(618) 594-4966
(618) 205-5067
Mailing address
811 FAIRFAX ST, CARLYLE, IL 62231-1809
(618) 594-4966
(618) 205-5067
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
109738
MO
231H00000X
Audiologist
Primary
147-000882
IL
Other
Enumeration date
09/17/2006
Last updated
04/17/2017
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