| NPI | 1033441084 |
|---|---|
| Former Name | REBECCA JO CLEVENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105543) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2013-07-08 |