Doctor Name: | MRS. REBECCA LEWIS HOUSTON |
NPI Number: | 1205127461 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | S3547 |
Business Practice Address: | 420 Saint Andrews Dr B2#4 Jackson, MS - 392112511 |
Business Phone Number: | 6629022331 |
Business Fax Number: | |
Mailing Address: | 420 Saint Andrews Dr, B2 #4 JACKSON |
State: | MS |
Postal Code: | 392112511 |
Phone Number: | 6629022331 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2011 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |