MEDICARE: MRS. REBECCA RAMIREZ HERRELL M.S., 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
1	235Z00000X	Speech-Language Pathologist	103030	TX

General Provider Information

NPI Number	:	1770710816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA RAMIREZ HERRELL M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	4300 SIGMA RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-4422
Country	:	US
Telephone Number	:	972-756-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 SIGMA RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-4422
Country	:	US
Telephone Number	:	972-756-0500
Fax Number	:

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

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	03/25/2014

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Directions to “ MRS. REBECCA RAMIREZ HERRELL M.S., CCC-SLP” Practice Location

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