Provider Demographics
NPI:1528247889
Name:JAMES, REBEKAH MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:MARIE
Other - Last Name:PINEGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 807
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72018-0807
Mailing Address - Country:US
Mailing Address - Phone:501-350-7572
Mailing Address - Fax:501-776-4059
Practice Address - Street 1:3851 LEGACY VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-9745
Practice Address - Country:US
Practice Address - Phone:501-350-7572
Practice Address - Fax:501-776-4059
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P8065235Z00000X
ARSP#2655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist