Provider Demographics
NPI:1285849851
Name:BARKER, REBECCA L (PHD, CCC SLP)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:L
Last Name:BARKER
Suffix:
Gender:F
Credentials:PHD, CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 S 310TH PL
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-9009
Mailing Address - Country:US
Mailing Address - Phone:253-946-6246
Mailing Address - Fax:
Practice Address - Street 1:839 S 310TH PL
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-9009
Practice Address - Country:US
Practice Address - Phone:253-946-6246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00001157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist