Provider Demographics
NPI:1437527504
Name:FREIDMAN, REBECCA RACHEL (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RACHEL
Last Name:FREIDMAN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:RACHEL
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1523 S SHERBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-4407
Mailing Address - Country:US
Mailing Address - Phone:213-401-2667
Mailing Address - Fax:
Practice Address - Street 1:102 SANHEDRIA MURCHEVET
Practice Address - Street 2:APARTMENT 16B
Practice Address - City:JERUSALEM
Practice Address - State:JERUSALEM
Practice Address - Zip Code:97707
Practice Address - Country:IL
Practice Address - Phone:97258-325-0561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP11842235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist