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NPI Code Detail

MEDICARE: MRS. REBECCA ANN PINNELL MS, CCC-SLP

MEDICARE:  MRS. REBECCA ANN PINNELL  MS, 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 Pathologist

General Provider Information

NPI Number : 1679606404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ANN PINNELL MS, CCC-SLP
Provider Business Mailing Address
First Line : 5746 RHODES AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63109-3532
Country : US
Telephone Number : 314-752-4067
Fax Number :
Provider Business Practice Location Address
First Line : 3820 N 14TH ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63107-2928
Country : US
Telephone Number : 314-231-9608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/09/2007

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Directions to “ MRS. REBECCA ANN PINNELL MS, CCC-SLP” Practice Location

Language Start Address Practice Location
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.