Most Relevant Information
Provider Data
| NPI Number: | 1003470816 |
| Provider Name: | REBECCA NOELLE HEIDENREICH |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2019 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
6901 N CHARLES ST
TOWSON
MD
212043780
Practice Location Phone/Fax
| Phone: | 4108870919 |
| Fax: |
Provider Mailing Location
6901 N CHARLES ST
TOWSON
MD
212043780
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |