Rebecca Marshall, M.ED., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hapeville, GA
NPI 1164031712 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1164031712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP003993 (GA)
- Practice address
- 650 S Central Ave Unit 82581
Hapeville, GA 30354-2098 - Phone
- (678) 948-6632
- NPI assigned
- Jul 29, 2020
- 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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP003993 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP003993 | GA | Yes |
Addresses
Primary practice location
650 S Central Ave Unit 82581
Hapeville, GA 30354-2098
Mailing address
650 S Central Ave Unit 82581
Hapeville, GA 30354-2098
Phone (678) 948-6632
Other providers in Hapeville, GA
- Nicola B Lee
- Shekita Hall Lee
- Tiffany Marshawn Lowe
- Jasmine Lozano
- Luxe Noir Health, P.C.
- Melissa Massey
- Brian W. Maziarz
- Medcrown Solutions
- Dwight H. Miller
- Mindful Healing
All providers in Hapeville, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. 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.