Provider Demographics
NPI:1598943037
Name:VOIGT, REBECCA CAMPBELL (MS CF/SLP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:CAMPBELL
Last Name:VOIGT
Suffix:
Gender:F
Credentials:MS CF/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5165 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-2256
Mailing Address - Country:US
Mailing Address - Phone:850-623-4054
Mailing Address - Fax:850-623-4987
Practice Address - Street 1:4100 S FERDON BLVD STE C1
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-5287
Practice Address - Country:US
Practice Address - Phone:850-682-8388
Practice Address - Fax:850-682-7463
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 4256235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist