Provider Demographics
NPI:1902672611
Name:MCGUIRE, REBECCA CARTER (MA, CCC-SLP, CBIS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:CARTER
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MA, CCC-SLP, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 LARNED LOOP APT 106
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-7704
Mailing Address - Country:US
Mailing Address - Phone:502-558-1802
Mailing Address - Fax:
Practice Address - Street 1:471 LARNED LOOP APT 106
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-7704
Practice Address - Country:US
Practice Address - Phone:502-558-1802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002185235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist