Doctor Name: | MRS. RACHEL CODELLA |
NPI Number: | 1619292265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | S3132 |
Business Practice Address: | 160 Saint Peter St Biloxi, MS - 395303404 |
Business Phone Number: | 2284356166 |
Business Fax Number: | |
Mailing Address: | 151 Hopkins Blvd, BILOXI |
State: | MS |
Postal Code: | 395303752 |
Phone Number: | 2283480466 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |