Provider Demographics
NPI:1013964600
Name:OWENS, REBECCA MEASELL (PHD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MEASELL
Last Name:OWENS
Suffix:
Gender:F
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19465 DEERFIELD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-1703
Mailing Address - Country:US
Mailing Address - Phone:703-858-7620
Mailing Address - Fax:703-858-7657
Practice Address - Street 1:19465 DEERFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-1703
Practice Address - Country:US
Practice Address - Phone:703-858-7620
Practice Address - Fax:703-858-7657
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001244231H00000X
VA2101001483237700000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010134048Medicaid
VA010128561Medicaid
VA010128561Medicaid