Provider Demographics
NPI:1861388738
Name:HADDAD, REBECA
Entity type:Individual
Prefix:
First Name:REBECA
Middle Name:
Last Name:HADDAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SHILOH RD APT 221
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3835
Mailing Address - Country:US
Mailing Address - Phone:903-372-9425
Mailing Address - Fax:
Practice Address - Street 1:1881 CAMPUS COMMONS DR STE 500
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1572
Practice Address - Country:US
Practice Address - Phone:888-224-0126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter