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NPI 1982217170 · live from the CMS NPI Registry

Rebecca Backus, CCC-SLP

Speech-Language Pathologist, in Silverdale, WA. National Provider Identifier 1982217170, active.

NPI record

NPI1982217170 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location9576 Ridgetop Blvd Nw # 101, Silverdale, WA 98383
Practice phone360-447-9120
Mailing address26280 Edgewater Blvd Nw, Poulsbo, WA 98370
EnumeratedAugust 26, 2020
Last updatedMarch 19, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program390200000X—
Speech-Language Pathologist, primary235Z00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.