Provider Demographics
NPI:1154992576
Name:MILLS-PREVO, REBEKAH (AUD)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:MILLS-PREVO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:321 N FURNACE ST STE 90
Mailing Address - Street 2:
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-2057
Mailing Address - Country:US
Mailing Address - Phone:610-404-8025
Mailing Address - Fax:
Practice Address - Street 1:560 VAN REED RD STE 205
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1799
Practice Address - Country:US
Practice Address - Phone:610-750-6107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter