Provider Demographics
NPI:1275081093
Name:MCCOY, REBECCA (MT-BC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MCCOY
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 NE 122ND ST
Mailing Address - Street 2:APT 1814
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-9201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1073 N BRYANT AVE
Practice Address - Street 2:SUITE #100
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3260
Practice Address - Country:US
Practice Address - Phone:405-513-8186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist