Individual
REBECCA A WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2600 WHISPERING PINE RD, LITTLE ROCK, AR 72210-5456
(501) 416-4674
Mailing address
2600 WHISPERING PINE RD, LITTLE ROCK, AR 72210-5456
(501) 416-4674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP556
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S463
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/01/2006
Last updated
07/08/2007
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