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NPI Code Detail

MEDICARE: MRS. REBECCA ANN WALKER M.A., CCC-A

MEDICARE: MRS. REBECCA ANN WALKER M.A., CCC-A
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
1231H00000XAudiologistA.01595OH

General Provider Information

NPI Number : 1104882448
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ANN WALKER M.A., CCC-A
Provider Business Mailing Address
First Line : 3893 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44484-4706
Country : US
Telephone Number : 330-856-4000
Fax Number : 330-609-9910
Provider Business Practice Location Address
First Line : 3893 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44484-4706
Country : US
Telephone Number : 330-856-4000
Fax Number : 330-609-9910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 02/27/2024

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Directions to “ MRS. REBECCA ANN WALKER M.A., CCC-A” Practice Location

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