Provider Demographics
NPI:1609554344
Name:REHFELD, DAVID MICHAEL (PHD CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:REHFELD
Suffix:
Gender:M
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1405 CAMPUS CREEK RD
Mailing Address - Street 2:ROOM 139
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66506-7500
Mailing Address - Country:US
Mailing Address - Phone:785-532-6879
Mailing Address - Fax:785-532-6523
Practice Address - Street 1:1405 CAMPUS CREEK RD
Practice Address - Street 2:ROOM 139
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66506-7500
Practice Address - Country:US
Practice Address - Phone:785-532-6879
Practice Address - Fax:785-532-6523
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5316235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist