Healthcare Provider Details
I. General information
NPI: 1801978978
Provider Name (Legal Business Name): YANG REBECCA HERBIG AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO AE
09180
DE
IV. Provider business mailing address
OFFENBACHER LANDSTRASSE 426
FRANKFURT AM MAIN HESSEN
60599
DE
V. Phone/Fax
- Phone: 496371868188
- Fax:
- Phone: 0496965399280
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 80042 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: