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Contact Information

REBECCA S RANDALL, CCC-SLP
511 JERMOR LN STE 102
WESTMINSTER, MD21157
 Phone: 410-871-2494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for REBECCA S RANDALL · (Female)

NPI # 1366563447
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 04/03/2007
Last updated 11/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 02242
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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