Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 65009 | TX |
N | 101YS0200X | School Counselor | 1251174 | TX |
NPI | 1083948434 |
---|---|
Provider Name | Mrs. Rebecca Elizabeth Spivey |
First Address | Southlake, TX 76092-7523 |
Second Address | Southlake, TX 76092-7523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2009 |
Last Update Date | 01/10/2009 |