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NPI Code Detail

MEDICARE: MS. REBECCA JOY TIPPITT MS, CCC-SLP

MEDICARE: MS. REBECCA JOY TIPPITT MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP2179NV
2235Z00000XSpeech-Language PathologistSLP16460AZ
3235Z00000XSpeech-Language Pathologist41YS00474300NJ

General Provider Information

NPI Number : 1134369614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA JOY TIPPITT MS, CCC-SLP
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 5859 W TALAVI BLVD STE 180
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-1873
Country : US
Telephone Number : 602-560-2836
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2009
Last Update Date : 02/27/2026

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Directions to “ MS. REBECCA JOY TIPPITT MS, CCC-SLP” Practice Location

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