Rebecca Leigh Boellstorff, M.S.
Individual provider Active NPI Speech-Language Pathologist · Bel Aire, KS
NPI 1528367299 · NPPES record last updated Mar 21, 2011
Key facts
- NPI
- 1528367299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1440 (NE)
- Practice address
- 4550 Westlake CT
Bel Aire, KS 67220-1762 - Phone
- (316) 973-5321
- NPI assigned
- Mar 21, 2011
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2862 | KS | MD | Psychologist |
| 1440 | NE | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1440 | NE | Yes |
| Speech-Language Pathologist | 235Z00000X | 2862 | KS |
Addresses
Primary practice location
4550 Westlake CT
Bel Aire, KS 67220-1762
Mailing address
4550 Westlake CT
Bel Aire, KS 67220-1762
Phone (316) 973-5321
Other providers in Bel Aire, KS
- Jenna Leigh Arrington
- Shelley E Barger
- Sandra Dawn Beers
- Gretchen Leah Bina
- Marie Bitzer
- Kimberly Brandt
- Tessa L Brock
- Christina Butler
- Brandi Callaway
- Molly Carr
All providers in Bel Aire, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2011. 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.