Provider Demographics
NPI:1023320520
Name:BARNES, REBECCA (MS CCC - SLP)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:MS CCC - SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 PAINT BRUSH DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2679
Mailing Address - Country:US
Mailing Address - Phone:325-690-3666
Mailing Address - Fax:
Practice Address - Street 1:3750 PAINT BRUSH DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-2679
Practice Address - Country:US
Practice Address - Phone:325-690-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105097235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist