Provider Demographics
NPI:1821682683
Name:NAWALINSKI, REBEKAH RAE (CF-SLP)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:RAE
Last Name:NAWALINSKI
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:RAE
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 MERIDIAN WAY
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4353
Mailing Address - Country:US
Mailing Address - Phone:425-761-2413
Mailing Address - Fax:
Practice Address - Street 1:5 MERIDIAN WAY
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4353
Practice Address - Country:US
Practice Address - Phone:425-761-2413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTL3528235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty