Provider Demographics
NPI:1659670164
Name:PARLET, REBECCA JANE (MS-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:PARLET
Suffix:
Gender:F
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8027 MOUNT HURON TRL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-8000
Mailing Address - Country:US
Mailing Address - Phone:719-481-8605
Mailing Address - Fax:
Practice Address - Street 1:6190 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3453
Practice Address - Country:US
Practice Address - Phone:719-598-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01025804235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist