Doctor Name: | RACHEL MENNE |
NPI Number: | 1265758106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 12835 |
Business Practice Address: | 2121 Ne 139th St Mob Suite 200 Vancouver, WA - 986862316 |
Business Phone Number: | 3604871777 |
Business Fax Number: | 3604871779 |
Mailing Address: | 2121 Ne 139th St, Mob Suite 200 VANCOUVER |
State: | WA |
Postal Code: | 986862316 |
Phone Number: | 3604871777 |
Fax Number: | 3604871779 |
NPI Enumeration Date: | 04/16/2010 |
NPI Last Update Date: | 04/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12835 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |