Provider Demographics
NPI:1003573411
Name:UNGER, REBECCA FERRANTE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:FERRANTE
Last Name:UNGER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-4051
Mailing Address - Country:US
Mailing Address - Phone:337-254-6618
Mailing Address - Fax:
Practice Address - Street 1:300 4TH ST
Practice Address - Street 2:
Practice Address - City:BRIDGE CITY
Practice Address - State:LA
Practice Address - Zip Code:70094-3320
Practice Address - Country:US
Practice Address - Phone:504-341-1351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7624235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist