Active NPIIndividual provider

Rebecca Azevedo, CCC-SLP

Speech-Language Pathologist, in Marlton, New Jersey

NPI Number1922669225
Practice location
751 Route 73 N Ste 1, Marlton, NJ 08053-3456
Fax
—
Last updated
February 1, 2022

Rebecca Azevedo is a Speech-Language Pathologist, based in Marlton, NJ. Rebecca Azevedo practices in Marlton, NJ and has the professional credentials of CCC-SLP. The NPI Number for Rebecca Azevedo is 1922669225 and holds a License No. 41YS01043900 (NJ). The current practice location address for Rebecca Azevedo is 751 Route 73 N Ste 1, Marlton, NJ 08053-3456 and can be reached out via phone at 856-375-2914.

Provider Profile Details

NPI Number
1922669225
Provider Name
Rebecca Azevedo
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
751 Route 73 N Ste 1, Marlton, NJ 08053-3456
Phone Number
856-375-2914
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2019
Last Update Date
February 1, 2022
Certification Date
February 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
751 Route 73 N Ste 1
Marlton, NJ 08053-3456
Zip
08053-3456
Phone Number
856-375-2914
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
751 Route 73 N Ste 1
Marlton, NJ 08053-3456
City
Marlton
State
NJ
Zip
08053-3456
Phone Number
856-375-2914

License Information

License State (1)
PA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
41YS01043900
License State (3)
NJ
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca Azevedo, CCC-SLP?

The NPI number of Rebecca Azevedo, CCC-SLP is 1922669225. It was assigned on June 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Rebecca Azevedo, CCC-SLP?

Rebecca Azevedo, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01043900.

Where does Rebecca Azevedo, CCC-SLP practice?

The practice location is 751 Route 73 N Ste 1, Marlton, NJ 08053-3456. The office can be reached at 856-375-2914 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922669225 directly on the NPPES registry website.

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