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NPI Code Detail

MEDICARE: REBECCA SMITH-LATEINER CCC-SLP

MEDICARE: REBECCA SMITH-LATEINER 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 Pathologist015953-1NY

General Provider Information

NPI Number : 1568747673
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SMITH-LATEINER CCC-SLP
Provider Business Mailing Address
First Line : 512 CARROLL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-1030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 512 CARROLL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-1030
Country : US
Telephone Number : 999-999-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 03/12/2012

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Directions to “ REBECCA SMITH-LATEINER CCC-SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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