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MRS. REBECCA KLOPP FEDOR MEDCCCSLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1396949087

Individual Registrant:
MRS. REBECCA KLOPP FEDOR MEDCCCSLP
Gender: F
Sole Proprietor

Location and contact information for practice:
13495 GULF BLVD  MADEIRA BEACH, FL 33708-2515 US
Tel: 727-391-4100  Fax: 727-398-2067

Contact information for business:
13495 GULF BLVD  MADEIRA BEACH, FL 33708-2515 US
Tel: 727-391-4100  Fax: 727-398-2067

Registration Information:
NPI: 1396949087
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA3176

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSESA3176FL01




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