Doctor Name: | REBECCA BECTON |
NPI Number: | 1194145219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 16647 |
Business Practice Address: | 5225 S Loop 289 Suite 210 Lubbock, TX - 794241363 |
Business Phone Number: | 8067804180 |
Business Fax Number: | |
Mailing Address: | 7115 26th St, LUBBOCK |
State: | TX |
Postal Code: | 794074400 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |