Doctor Name: | MS. KIRSTEN MARIE RACHAF |
NPI Number: | 1851590376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 011513-1 |
Business Practice Address: | 887 Kellum St Lindenhurst, NY - 117571508 |
Business Phone Number: | 6318843000 |
Business Fax Number: | 6318841959 |
Mailing Address: | 1511 Stephen Marc Ln, EAST MEADOW |
State: | NY |
Postal Code: | 115542206 |
Phone Number: | 5164148170 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011513-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |