Provider Demographics
NPI:1770145989
Name:MCQUEEN, REBEKAH LYNN (MT-BC)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:LYNN
Last Name:MCQUEEN
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18915 CLUSTER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-1981
Mailing Address - Country:US
Mailing Address - Phone:713-435-9948
Mailing Address - Fax:
Practice Address - Street 1:18915 CLUSTER OAKS DR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355-1981
Practice Address - Country:US
Practice Address - Phone:713-435-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15132225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty