Doctor Name: | MRS. REBECCA RAYNOR THOMAS |
NPI Number: | 1104073279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 8130 |
Business Practice Address: | 1913 E 9th St Greenville, NC - 278582922 |
Business Phone Number: | 2527584728 |
Business Fax Number: | 2527589465 |
Mailing Address: | Po Box 191, FALKLAND |
State: | NC |
Postal Code: | 278270191 |
Phone Number: | 2523412279 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 08/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |