Provider Demographics
NPI:1235241340
Name:MOTLEY, REBECCA ROPER (PHD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ROPER
Last Name:MOTLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BECKY
Other - Middle Name:ROPER
Other - Last Name:MOTLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:4975 PRESTON PARK BLVD
Mailing Address - Street 2:SUITE 790
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5164
Mailing Address - Country:US
Mailing Address - Phone:972-530-6503
Mailing Address - Fax:972-985-2120
Practice Address - Street 1:4975 PRESTON PARK BLVD
Practice Address - Street 2:SUITE 790
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5164
Practice Address - Country:US
Practice Address - Phone:972-530-6503
Practice Address - Fax:972-985-2120
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4701106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist