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NPI Code Detail

MEDICARE: REBECCA DORNAK BREWER M.A. CF-SLP

MEDICARE: REBECCA DORNAK BREWER M.A. CF-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 Pathologist115569TX

General Provider Information

NPI Number : 1790328060
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA DORNAK BREWER M.A. CF-SLP
Provider Business Mailing Address
First Line : 6623 CALLAGHAN RD APT 1005
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5107
Country : US
Telephone Number : 979-320-7778
Fax Number :
Provider Business Practice Location Address
First Line : 696 FM 99
Second Line :
City : KARNES CITY
State : TX
Zip : 78118-5009
Country : US
Telephone Number : 830-780-3944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2019
Last Update Date : 10/19/2019

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Directions to “ REBECCA DORNAK BREWER M.A. CF-SLP” Practice Location

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