Rebecca Peters Tyson, MA CCC/SLP is a
Speech-language Pathologist based in Clear Brook, Virginia. Rebecca Peters Tyson is licensed to practice in West Virginia (license number SLP-0724) and her current practice location is
132 Elf Way, Clear Brook, Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 886-1826.
NPI number for Rebecca Peters Tyson is 1164749081 and her current mailing address is 132 Elf Way, Clear Brook, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164749081.
Healthcare Provider's Profile
Full Name | Rebecca Peters Tyson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 132 Elf Way, Clear Brook, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164749081
- Provider Enumeration Date: 05/02/2010
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Rebecca Peters Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164749081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2202004757 (Virginia) | Secondary |
235Z00000X | Speech-language Pathologist | SLP-0724 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rebecca Peters Tyson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rebecca Peters Tyson, MA CCC/SLP 132 Elf Way, Clear Brook, VA 22624-1489 Ph: (304) 886-1826 | Rebecca Peters Tyson, MA CCC/SLP 132 Elf Way, Clear Brook, VA 22624-1489 Ph: (304) 886-1826 |
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