Doctor Name: | RACHEL RAIA |
NPI Number: | 1245623248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SP 22470 |
Business Practice Address: | 1064 J St Crescent City, CA - 955312705 |
Business Phone Number: | 3236206220 |
Business Fax Number: | |
Mailing Address: | 103 Windmill Dr, Unit A AIKEN |
State: | SC |
Postal Code: | 298016104 |
Phone Number: | 3236206220 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2015 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 22470 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |