MEDICARE: REBECCA ANN GIAMBRA 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
1	235Z00000X	Speech-Language Pathologist	015555-1	NY
2	235Z00000X	Speech-Language Pathologist	108034	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710019971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN GIAMBRA MA, CCC-SLP

Provider Business Mailing Address
First Line	:	15734 ROXTON RIDGE DR
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-2542
Country	:	US
Telephone Number	:	605-767-0586
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 9TH AVE N
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-5470
Country	:	US
Telephone Number	:	605-782-2300
Fax Number	:

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	01/19/2023

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