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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA PETERS TYSON, MA CCC/SLP

Active Sole Proprietor

REBECCA PETERS TYSON, MA CCC/SLP is a Speech, Language and Hearing Specialist healthcare provider located in CLEAR BROOK, Virginia. NPI 1164749081 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · CLEAR BROOK, VA

Registration Details

NPI Number
1164749081
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2010 (16.248012238716 yrs)
Last Updated
Jul 9, 2024
Licenses
2202004757 (VA)
SLP-0724 (WV)
Sole Proprietor
Yes

Practice Information

Address
132 ELF WAY
CLEAR BROOK, VA, 226241489
Browse VA providers · Browse ZIP 22624
Phone
3048861826
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.