Healthcare Provider Details

I. General information

NPI: 1023943867
Provider Name (Legal Business Name): RACHEL BROWN MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16310 E AVENUE Q
PALMDALE CA
93591-3603
US

IV. Provider business mailing address

11 HOLLY LN
LAWRENCE NY
11559-1317
US

V. Phone/Fax

Practice location:
  • Phone: 661-264-3700
  • Fax:
Mailing address:
  • Phone: 516-669-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP30282
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: