Provider Demographics
NPI:1811920929
Name:MCWHORTER, REBECCA MCCLEES (AUD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MCCLEES
Last Name:MCWHORTER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2332 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2003
Mailing Address - Country:US
Mailing Address - Phone:239-434-7000
Mailing Address - Fax:
Practice Address - Street 1:2332 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2003
Practice Address - Country:US
Practice Address - Phone:239-434-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1341231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist