Provider Demographics
NPI:1831419159
Name:BOOK, REBECCA ELIZABETH (AUD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:BOOK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1680
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-1680
Mailing Address - Country:US
Mailing Address - Phone:410-590-9462
Mailing Address - Fax:410-590-9464
Practice Address - Street 1:8028 RITCHIE HWY STE 136A
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1030
Practice Address - Country:US
Practice Address - Phone:410-590-9462
Practice Address - Fax:410-590-9464
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01194237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD510525100Medicaid