MEDICARE: REBECCA GREENE

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
1	235Z00000X	Speech-Language Pathologist	SL012639	PA

General Provider Information

NPI Number	:	1780068411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA GREENE

Provider Business Mailing Address
First Line	:	191 PARKEDGE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	191 PARKEDGE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2607
Country	:	US
Telephone Number	:	412-722-7764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	03/02/2026

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Directions to “ REBECCA GREENE ” Practice Location

Language	Start Address	Practice Location

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