Rebecca Lynne Chandler, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Broadway, VA
NPI 1013258599 · NPPES record last updated Mar 8, 2013
Key facts
- NPI
- 1013258599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202006032 (VA)
- Practice address
- 209 Atlantic Ave
Broadway, VA 22815-9405 - Phone
- (540) 820-2138
- NPI assigned
- Mar 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202006032 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202006032 | VA | Yes |
Addresses
Primary practice location
209 Atlantic Ave
Broadway, VA 22815-9405
Mailing address
209 Atlantic Ave
Broadway, VA 22815-9405
Phone (540) 820-2138
Other providers in Broadway, VA
- Broadway Drug Center, LLC
- Broadway Drug Center, LLC
- Broadway Family Practice, PC
- Bryan J Callahan
- Jacob Austin Canfield
- Allison Louise Chupp
- Heather Lee Codding
- Collins and Collins Inc
- Sheree Cubbage
- Sean P Daugherty
All providers in Broadway, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.