MEDICARE: RACHEL BARROCAS MS, 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	SLP007657	GA

General Provider Information

NPI Number	:	1730447103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BARROCAS MS, CCC-SLP

Provider Business Mailing Address
First Line	:	223 HIGHLAND SQUARE DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-2280
Country	:	US
Telephone Number	:	914-400-4891
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 HIGHLAND SQUARE DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-2280
Country	:	US
Telephone Number	:	914-400-4891
Fax Number	:

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

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	04/24/2012

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