Provider Demographics
NPI:1346832748
Name:REBECCA CUMMINGS, M.S., CCC-SLP, PLLC
Entity Type:Organization
Organization Name:REBECCA CUMMINGS, M.S., CCC-SLP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:831-224-0369
Mailing Address - Street 1:22906 39TH AVE W
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8281
Mailing Address - Country:US
Mailing Address - Phone:831-224-0369
Mailing Address - Fax:
Practice Address - Street 1:6443 NE 181ST ST
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-4831
Practice Address - Country:US
Practice Address - Phone:425-419-6199
Practice Address - Fax:855-891-8297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1932727575OtherINDIVIDUAL NPI