MEDICARE: HOPE RACHEL RICE 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	021935	NY

General Provider Information

NPI Number	:	1730430364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE RACHEL RICE CCC-SLP

Provider Business Mailing Address
First Line	:	286 5TH AVE
Second Line	:	APT. 2C
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2435
Country	:	US
Telephone Number	:	917-968-6437
Fax Number	:

Provider Business Practice Location Address
First Line	:	286 5TH AVE
Second Line	:	APT. 2C
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2435
Country	:	US
Telephone Number	:	917-968-6437
Fax Number	:

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

Provider Enumeration Date	:	09/22/2012
Last Update Date	:	09/22/2012

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Directions to “ HOPE RACHEL RICE CCC-SLP” Practice Location

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