MEDICARE: REBECCA VOSKAMP 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	SL004911L	PA

General Provider Information

NPI Number	:	1780600411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA VOSKAMP SLP

Provider Business Mailing Address
First Line	:	5642 TRACY DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-3334
Country	:	US
Telephone Number	:	412-854-5865
Fax Number	:

Provider Business Practice Location Address
First Line	:	5642 TRACY DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-3334
Country	:	US
Telephone Number	:	724-656-8814
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	11/29/2018

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Directions to “ REBECCA VOSKAMP SLP” Practice Location

Language	Start Address	Practice Location

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