MEDICARE: MRS. RACHEL LEAH CLOW M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	108122	TX

General Provider Information

NPI Number	:	1497189450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL LEAH CLOW M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	708 E 11TH PL
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4648
Country	:	US
Telephone Number	:	432-264-4106
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 E 11TH PL
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4648
Country	:	US
Telephone Number	:	432-264-4106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	09/24/2021

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Directions to “ MRS. RACHEL LEAH CLOW M.S., CCC-SLP” Practice Location

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