Provider Demographics
NPI:1023598596
Name:MURPHY, REBECCA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 FOREST DR STE 206
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-1473
Mailing Address - Country:US
Mailing Address - Phone:410-280-9788
Mailing Address - Fax:410-280-9790
Practice Address - Street 1:165 LOG CANOE CIR STE D
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2150
Practice Address - Country:US
Practice Address - Phone:410-280-9788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02262L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist