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MRS. REBECCA KLOPP FEDOR MEDCCCSLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1396949087
Individual Registrant:MRS. REBECCA KLOPP FEDOR MEDCCCSLP
Gender: F
Sole Proprietor
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
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
Tel: 727-391-4100 Fax: 727-398-2067
Registration Information:
NPI: 1396949087
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | FL | SA3176 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LICENSE | SA3176 | FL | 01 |
