Provider Demographics
NPI:1356533368
Name:SHEFFIELD, REBECCA J (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:J
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6619 CASSAM RD
Mailing Address - Street 2:
Mailing Address - City:BAHAMA
Mailing Address - State:NC
Mailing Address - Zip Code:27503-9590
Mailing Address - Country:US
Mailing Address - Phone:919-338-3428
Mailing Address - Fax:
Practice Address - Street 1:6619 CASSAM RD
Practice Address - Street 2:
Practice Address - City:BAHAMA
Practice Address - State:NC
Practice Address - Zip Code:27503-9590
Practice Address - Country:US
Practice Address - Phone:919-338-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3756235Z00000X
NC12065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist