Provider Demographics
NPI:1619340718
Name:MURPHY, REBECCA ASHLEY (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ASHLEY
Last Name:MURPHY
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:ASHLEY
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:2631 CHATHAM RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4185
Mailing Address - Country:US
Mailing Address - Phone:217-793-3000
Mailing Address - Fax:217-793-3001
Practice Address - Street 1:2631 CHATHAM RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4185
Practice Address - Country:US
Practice Address - Phone:217-793-3000
Practice Address - Fax:217-793-3001
Is Sole Proprietor?:No
Enumeration Date:2015-11-11
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001559231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist