Mary Lee Neubeck, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006692 Issued in VA

Practice address

1630 Donna Dr Ste 103
Virginia Beach, VA 23451-6188

Phone

(757) 647-9138

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech at the Beach, PLLC

  • Hearing and Speech Clinic/Center
  • Virginia Beach, VA
  • NPI 1497353890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1720772114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 PLANTATION DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542739",
            "telephone_number": "757-620-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DONNA DR STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516188",
            "telephone_number": "757-647-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBECK",
        "first_name": "MARY LEE",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nesslevel Counseling, LLC
• Brittany L Nettingham, LPC, LSATP
• Taneshia Nettingham, LPC
• Kimberly Nettles
• Trevor Neubauer, BCBA
• Neuroenhancement & Cognitive Optimization Associates, PLLC (Neucoa)
• Neurohive Therapeutic Collaborative, LLC
• Neurology Consulants of Tidewater PLLC (Virginia Beach Neurology)
• Neurology Institute of Virginia, PLLC
• Neuropsychological Services of Tidewater, LLC

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.