Provider Demographics
NPI:1760610737
Name:DOWNS, REBECCA ELLEN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ELLEN
Last Name:DOWNS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5443 E 33RD LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-9544
Mailing Address - Country:US
Mailing Address - Phone:620-255-4025
Mailing Address - Fax:
Practice Address - Street 1:5443 E 33RD LN
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-9544
Practice Address - Country:US
Practice Address - Phone:620-255-4025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP6173235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist