Provider Demographics
NPI:1952716235
Name:VLK, REBECCA LEE (AUD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LEE
Last Name:VLK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:LEE
Other - Last Name:MACDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:134 BENEDUM PL
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8835
Mailing Address - Country:US
Mailing Address - Phone:919-908-8026
Mailing Address - Fax:919-908-8089
Practice Address - Street 1:8200 RENAISSANCE PKWY STE 1006
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6698
Practice Address - Country:US
Practice Address - Phone:919-908-8026
Practice Address - Fax:919-908-8089
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10995231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist