Provider Demographics
NPI:1659035806
Name:NORDMAN-HUBBARD, REBECCA L (MA)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:L
Last Name:NORDMAN-HUBBARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8223 RETREAT LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-7691
Mailing Address - Country:US
Mailing Address - Phone:317-716-8470
Mailing Address - Fax:
Practice Address - Street 1:8223 RETREAT LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46259-7691
Practice Address - Country:US
Practice Address - Phone:317-716-8470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health