Provider Demographics
NPI:1588091359
Name:CLUXTON, REBECCA GALE (MA, CCC-A)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:GALE
Last Name:CLUXTON
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:CLUXTON
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:125 S GLENN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-1210
Mailing Address - Country:US
Mailing Address - Phone:937-393-1904
Mailing Address - Fax:937-393-0496
Practice Address - Street 1:5350 W NEW MARKET RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-7722
Practice Address - Country:US
Practice Address - Phone:937-393-1904
Practice Address - Fax:937-393-0496
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01083231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist