Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Rebecca Bane Southern, MA/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1558200436

Mrs. Rebecca Bane Southern, MA/CCC-SLP is a Speech-Language Pathologist in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

3785 Fraternity Church Rd
Winston Salem, NC 27127-8723
Phone: (336) 817-6789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1829 (NC)

Record details

NPI number1558200436
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

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