NPI 1649563768 · live from the CMS NPI Registry
Rebecca J Decou, M.S., CCC-SLP
Speech-Language Pathologist, in North Bend, WA. National Provider Identifier 1649563768, active.
NPI record
| NPI | 1649563768 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1407 Boalch Ave Nw, North Bend, WA 98045 |
| Practice phone | 425-888-3347 |
| Mailing address | 1429 Lathrop St, Fairbanks, AK 99701 |
| Enumerated | May 23, 2011 |
| Last updated | March 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 60756023 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.