Provider Demographics
NPI:1164135083
Name:SOCHIN, REBECCA ROSE (AUD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ROSE
Last Name:SOCHIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 S COUNTY TRL STE 304
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-5083
Mailing Address - Country:US
Mailing Address - Phone:401-626-3785
Mailing Address - Fax:
Practice Address - Street 1:1351 S COUNTY TRL STE 304
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-5083
Practice Address - Country:US
Practice Address - Phone:401-626-3785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00283231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist