Davis, Rebecca Ann

Davis, Rebecca Ann is an individual health care provider with primary practice located at 3815 E Main St Suite B, Saint Charles IL 60174-2488. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Davis, Rebecca Ann can be contacted via phone (630) 584-7530.

Contact Information

Primary practice address
3815 E Main St Suite B Saint Charles IL 60174-2488
Phone: (630) 584-7530
Fax: (630) 584-7762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2005021971 Missouri
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.009149 Illinois

Profile Details

NPI number 1679603542
LBN Legal business name Davis, Rebecca Ann
Credentials M.S., CCC-SLP/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Oct 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679603542 NPPES
Missouri MEDICAID 467597704

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