MEDICARE: REBECCA ANN VOLLER M.ED. 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
1	235Z00000X	Speech-Language Pathologist	1503107	NC

General Provider Information

NPI Number	:	1669886990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN VOLLER M.ED. CCC-SLP

Provider Business Mailing Address
First Line	:	2914 BAPTIST RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8734
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2914 BAPTIST RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8734
Country	:	US
Telephone Number	:	308-440-8304
Fax Number	:

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

Provider Enumeration Date	:	06/14/2014
Last Update Date	:	12/15/2025

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Directions to “ REBECCA ANN VOLLER M.ED. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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