Rebecca Thomas

Individual provider Active NPI Speech-Language Pathologist · Chauncey, OH

NPI 1326445818 · NPPES record last updated Nov 26, 2014

Key facts

NPI
1326445818
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP6014 (OH)
Practice address
21 Birge Dr
Chauncey, OH 45719-1100
Phone
(740) 797-0064
NPI assigned
Nov 26, 2014
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

State licenses

LicenseStateTypeSpecialty
SP6014OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP6014 OH Yes

Addresses

Primary practice location

21 Birge Dr
Chauncey, OH 45719-1100

Mailing address

3 Warwick LN
Athens, OH 45701-3367

Other providers in Chauncey, OH

All providers in Chauncey, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.