Provider Demographics
NPI:1447648167
Name:KASS, REBECCA (MS SLP)
Entity type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:
Last Name:KASS
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 MONTAUK HWY
Mailing Address - Street 2:SUITE 152
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3012
Mailing Address - Country:US
Mailing Address - Phone:631-669-7098
Mailing Address - Fax:621-669-3736
Practice Address - Street 1:400 MONTAUK HWY
Practice Address - Street 2:SUITE 152
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3012
Practice Address - Country:US
Practice Address - Phone:631-669-7098
Practice Address - Fax:621-669-3736
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist