MEDICARE: MS. REBECCA ANN WUEST M.A., 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	SP.4836	OH

General Provider Information

NPI Number	:	1851521066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA ANN WUEST M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	8246 WINTERS LN
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-9100
Country	:	US
Telephone Number	:	513-680-0771
Fax Number	:

Provider Business Practice Location Address
First Line	:	5640 COX SMITH RD
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-2210
Country	:	US
Telephone Number	:	513-336-5289
Fax Number	:	513-336-7308

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

Provider Enumeration Date	:	07/22/2009
Last Update Date	:	01/18/2018

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Directions to “ MS. REBECCA ANN WUEST M.A., CCC-SLP” Practice Location

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