Individual
MRS. REBECCA LYNN DRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
(563) 441-3020
Mailing address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
(563) 441-3020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01724
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821193004
—
IA
Enumeration date
09/13/2006
Last updated
01/02/2012
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