National Provider Identifier

Rebecca Sue Berwaldt, CCC-SLP

Rebecca Sue Berwaldt, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lancaster, NY and a listed phone number of (716) 686-3280.

NPI 1750662722Lancaster, NYSpeech-Language Pathologist

Profile Overview

NPI
1750662722
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 06, 2011
Last Updated
September 06, 2011

Practice Location

  • 11 Pleasant View Dr
  • Lancaster, NY 14086-1001

Phone: (716) 686-3280

Mailing Address

  • 7284 Erica Ln
  • North Tonawanda, NY 14120-4901

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1750662722
Entity Type
Individual
Last Name
Berwaldt
First Name
Rebecca
Middle Name
Sue
Name Prefix
Mrs.
Credential
CCC-SLP
Mailing Street Address
7284 Erica Ln
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4901
Mailing Country
US
Mailing Phone
(716) 695-3146
Practice Street Address
11 Pleasant View Dr
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14086-1001
Practice Country
US
Practice Phone
(716) 686-3280
Enumeration Date
September 06, 2011
Last Updated
September 06, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)