Doctor Name: | REBECCA RUSSELL DARR |
NPI Number: | 1063701472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.P. |
License Number: | 4754 |
Business Practice Address: | 1426 1/2 Anthony Rd Augusta, GA - 309044702 |
Business Phone Number: | 8645905652 |
Business Fax Number: | |
Mailing Address: | 1426 1/2 Anthony Rd, AUGUSTA |
State: | GA |
Postal Code: | 309044702 |
Phone Number: | 8645905652 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |