Provider Demographics
NPI:1316126360
Name:HUZZY, REBECCA (AUD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HUZZY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19723-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4000
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:3855 WEST CHESTER PIKE
Practice Address - Street 2:THE ELLIS PRESERVE SUITE 280
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:19703-2304
Practice Address - Country:US
Practice Address - Phone:610-557-4800
Practice Address - Fax:610-557-4816
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE05-0000044231H00000X
DE06-0000211237600000X
PAAT006061231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD414537200Medicaid