Provider Demographics
NPI:1245496587
Name:WINTERS, REBECCA ALLYSON (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ALLYSON
Last Name:WINTERS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-9391
Mailing Address - Country:US
Mailing Address - Phone:501-951-2125
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:4009 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-9391
Practice Address - Country:US
Practice Address - Phone:501-951-2125
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#2597235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist