Rebecca Kaci Dewbre

Individual provider Active NPI Speech-Language Pathologist · Portales, NM

NPI 1831616705 · NPPES record last updated Oct 20, 2023

Key facts

NPI
1831616705
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP7697 (NM)
Practice address
1500 S Ave K
Station 3, Shroc
Portales, NM 88130
Phone
(575) 562-2160
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP7697 NM Yes

Addresses

Primary practice location

1500 S Ave K
Station 3, Shroc
Portales, NM 88130

Mailing address

1500 S Ave K
Station 3, Shroc
Portales, NM 88130

Other names

  • Rebecca Dewbre Temple Former name

Other providers in Portales, NM

All providers in Portales, NM · Speech-Language Pathologist in New Mexico

Sources for this page

Verify at the official NPI Registry.