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NPI Code Detail

MEDICARE: MRS. AMY REXRODE M.S., CCC-SLP

MEDICARE: MRS. AMY REXRODE M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2235Z00000XSpeech-Language Pathologist2202007359VA

General Provider Information

NPI Number : 1295146686
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY REXRODE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1591 PORT REPUBLIC RD
Second Line :
City : ROCKINGHAM
State : VA
Zip : 22801-3517
Country : US
Telephone Number : 540-437-4226
Fax Number :
Provider Business Practice Location Address
First Line : 1591 PORT REPUBLIC RD
Second Line :
City : ROCKINGHAM
State : VA
Zip : 22801-3517
Country : US
Telephone Number : 540-437-4226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2014
Last Update Date : 12/17/2024

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Directions to “ MRS. AMY REXRODE M.S., CCC-SLP” Practice Location

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