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NPI Code Detail

MEDICARE: MRS. REBECCA HARTLEY ATWELL MA, CCC-SLP

MEDICARE: MRS. REBECCA HARTLEY ATWELL MA, 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 Pathologist5814SC

General Provider Information

NPI Number : 1609244771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA HARTLEY ATWELL MA, CCC-SLP
Provider Business Mailing Address
First Line : 181 TOWN CREEK RD
Second Line :
City : AIKEN
State : SC
Zip : 29803-5841
Country : US
Telephone Number : 803-642-0700
Fax Number : 803-642-0588
Provider Business Practice Location Address
First Line : 714 S LAKE DR STE 150
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-3473
Country : US
Telephone Number : 803-356-4782
Fax Number : 803-356-9652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2015
Last Update Date : 07/29/2019

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Directions to “ MRS. REBECCA HARTLEY ATWELL MA, CCC-SLP” Practice Location

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