| Doctor Name: | RAQUEL MADAR |
| NPI Number: | 1962874578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 21785 |
| Business Practice Address: | 861 Harold Pl #205 Chula Vista Ca 91914-4554 Chula Vista, CA - 919144554 |
| Business Phone Number: | 6195782232 |
| Business Fax Number: | |
| Mailing Address: | 7850 Mission Center Ct. #100, SAN DIEGO |
| State: | CA |
| Postal Code: | 921081322 |
| Phone Number: | 6195782232 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2015 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 21785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |