Provider Demographics
NPI:1316438237
Name:STONE, REBECCA (AUD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4249 WENTWORTH RD
Mailing Address - Street 2:
Mailing Address - City:COHOCTON
Mailing Address - State:NY
Mailing Address - Zip Code:14826-9458
Mailing Address - Country:US
Mailing Address - Phone:607-382-3153
Mailing Address - Fax:
Practice Address - Street 1:4249 WENTWORTH RD
Practice Address - Street 2:
Practice Address - City:COHOCTON
Practice Address - State:NY
Practice Address - Zip Code:14826-9458
Practice Address - Country:US
Practice Address - Phone:607-382-3153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist