Doctor Name: | RACHEL MANGAN |
NPI Number: | 1073913786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP, ELL |
License Number: | SA13243 |
Business Practice Address: | 2090 Dyan Way Maitland, FL - 32751 |
Business Phone Number: | 3213728118 |
Business Fax Number: | |
Mailing Address: | 2090 Dyan Way, MAITLAND |
State: | FL |
Postal Code: | 327513952 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/29/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA13243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |