Provider Demographics
NPI:1306119607
Name:DANA, REBECCA LEE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEE
Last Name:DANA
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 1:7628 TWELVE OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023
Mailing Address - Country:US
Mailing Address - Phone:214-673-9861
Mailing Address - Fax:
Practice Address - Street 1:7002 LEBANON RD.
Practice Address - Street 2:SUITE 130
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75034-7461
Practice Address - Country:US
Practice Address - Phone:469-408-4634
Practice Address - Fax:972-618-1051
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist