Provider Demographics
NPI:1902069842
Name:SEMKE, REBECCA PAGE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:PAGE
Last Name:SEMKE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:LYNN
Other - Last Name:PAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:227 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1643
Mailing Address - Country:US
Mailing Address - Phone:717-433-6636
Mailing Address - Fax:
Practice Address - Street 1:119 S 5TH ST
Practice Address - Street 2:APT. D
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1845
Practice Address - Country:US
Practice Address - Phone:717-433-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2014-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008640235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist