MEDICARE: REBECCA J ALLEN

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
1	1041C0700X	Clinical Social Worker	110115	TX

General Provider Information

NPI Number	:	1376335497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA J ALLEN

Provider Business Mailing Address
First Line	:	409 MARTIN ST
Second Line	:
City	:	BONHAM
State	:	TX
Zip	:	75418-2208
Country	:	US
Telephone Number	:	903-804-1949
Fax Number	:

Provider Business Practice Location Address
First Line	:	3825 MAPLESHADE LN
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5727
Country	:	US
Telephone Number	:	817-330-4333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	05/22/2025

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Directions to “ REBECCA J ALLEN ” Practice Location

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