Healthcare Provider Details

I. General information

NPI: 1649503525
Provider Name (Legal Business Name): REBECCA SAYLOR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA REED MSW

II. Dates (important events)

Enumeration Date: 09/10/2009
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 W KILGORE AVE SUITE 6
YORKTOWN IN
47396-9290
US

IV. Provider business mailing address

26 FOXWOOD DR
BROWNSBURG IN
46112-1814
US

V. Phone/Fax

Practice location:
  • Phone: 765-287-8477
  • Fax: 765-287-8372
Mailing address:
  • Phone: 765-729-4608
  • Fax: 765-287-8372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: