Provider Demographics
NPI:1548562010
Name:REBECCA S ALLAN
Entity Type:Organization
Organization Name:REBECCA S ALLAN
Other - Org Name:REBECCA S ALLAN & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:SP
Authorized Official - Phone:714-394-9150
Mailing Address - Street 1:1370 BREA BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4125
Mailing Address - Country:US
Mailing Address - Phone:714-394-9150
Mailing Address - Fax:714-671-7820
Practice Address - Street 1:1370 BREA BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4125
Practice Address - Country:US
Practice Address - Phone:714-394-9150
Practice Address - Fax:714-671-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty