NPIMap

Rebecca Bowen, M.A. CCC-SLP

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

NPI 1992076970 · NPPES record last updated Jan 23, 2012

Key facts

NPI
1992076970
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
9525 (OH)
Practice address
31005 Bainbridge Rd Ste 7
Solon, OH 44139-6401
Phone
(440) 498-1100
Fax
(440) 498-1149
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

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 Arts

State licenses

LicenseStateTypeSpecialty
9525OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stefanie J. Peck, M.a. CCC-SLP Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9525 OH Yes

Addresses

Primary practice location

31005 Bainbridge Rd Ste 7
Solon, OH 44139-6401

Mailing address

2993 Mathers Way
2993 Mathers Way
Twinsburg, OH 44087-2629
Phone (330) 840-1188

Other providers in Solon, OH

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

Sources for this page

Verify at the official NPI Registry.