MEDICARE: RACHELLE FRIEDMAN 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	41YS00721800	NJ

General Provider Information

NPI Number	:	1902762362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE FRIEDMAN M.S. CCC SLP

Provider Business Mailing Address
First Line	:	1433 TOWERS ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5448
Country	:	US
Telephone Number	:	848-525-6577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1433 TOWERS ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5448
Country	:	US
Telephone Number	:	848-525-6577
Fax Number	:

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

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

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Directions to “ RACHELLE FRIEDMAN M.S. CCC SLP” Practice Location

Language	Start Address	Practice Location

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