Provider Demographics
NPI:1184499642
Name:BARNETT, REBECCA (MA, BS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 S HAZEL CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-4348
Mailing Address - Country:US
Mailing Address - Phone:720-833-6616
Mailing Address - Fax:
Practice Address - Street 1:4150 S HAZEL CT
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-4348
Practice Address - Country:US
Practice Address - Phone:720-833-6616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24434680235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist