Individual
REBECCA BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9576 RIDGETOP BLVD NW # 101, SILVERDALE, WA 98383-8554
(360) 447-9120
Mailing address
26280 EDGEWATER BLVD NW, POULSBO, WA 98370-9543
(541) 890-6522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2020
Last updated
03/19/2022
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