Rebecca Sue Dilts

Individual provider Active NPI Speech-Language Pathologist · Winamac, IN

NPI 1164601142 · NPPES record last updated Oct 26, 2007

Key facts

NPI
1164601142
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
22000181A (IN)
Practice address
616 E 13TH St
Winamac, IN 46996-1117
Phone
(574) 946-2150
Fax
(574) 946-2110
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22000181AINMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22000181A IN Yes

Addresses

Primary practice location

616 E 13TH St
Winamac, IN 46996-1117

Mailing address

616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2150

Other providers in Winamac, IN

All providers in Winamac, IN · Speech-Language Pathologist in Indiana

Sources for this page

Verify at the official NPI Registry.