| Doctor Name: | REBECCA MALINDA EARP |
| NPI Number: | 1205216272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MASTERS OF EDUCATION |
| License Number: | 145764 |
| Business Practice Address: | 700 West 7th Street Grove, OK - 743450789 |
| Business Phone Number: | 9187863003 |
| Business Fax Number: | 9187864651 |
| Mailing Address: | Po Box 450789, GROVE |
| State: | OK |
| Postal Code: | 743450789 |
| Phone Number: | 9187863003 |
| Fax Number: | 9187864651 |
| NPI Enumeration Date: | 06/04/2015 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 145764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |