Provider Demographics
NPI:1134563232
Name:ADOMSHICK, REBECCA FREEH THORNBURG (MS, CCC-SLP, ATP)
Entity type:Individual
Prefix:
First Name:REBECCA FREEH
Middle Name:THORNBURG
Last Name:ADOMSHICK
Suffix:
Gender:F
Credentials:MS, CCC-SLP, ATP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:FREEH
Other - Last Name:THORNBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4079 YORKTOWN RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-8802
Mailing Address - Country:US
Mailing Address - Phone:484-891-1226
Mailing Address - Fax:844-609-1599
Practice Address - Street 1:4079 YORKTOWN RD
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-8802
Practice Address - Country:US
Practice Address - Phone:484-891-1226
Practice Address - Fax:844-609-1599
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007164225CA2400X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner