1437527504 NPI number — REBECCA RACHEL FREIDMAN MA CCC-SLP

Table of content: REBECCA RACHEL FREIDMAN MA CCC-SLP (NPI 1437527504)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437527504 NPI number — REBECCA RACHEL FREIDMAN MA CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FREIDMAN
Provider First Name:
REBECCA
Provider Middle Name:
RACHEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SILVERMAN
Provider Other First Name:
REBECCA
Provider Other Middle Name:
RACHEL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1437527504
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/26/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1523 S SHERBOURNE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90035-4407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-401-2667
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 SANHEDRIA MURCHEVET
Provider Second Line Business Practice Location Address:
APARTMENT 16B
Provider Business Practice Location Address City Name:
JERUSALEM
Provider Business Practice Location Address State Name:
JERUSALEM
Provider Business Practice Location Address Postal Code:
97707
Provider Business Practice Location Address Country Code:
IL
Provider Business Practice Location Address Telephone Number:
972583250561
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SP11842 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com