Healthcare Provider Details

I. General information

NPI: 1992635866
Provider Name (Legal Business Name): RACHEL GREENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL SCHMALTZ

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 22ND ST
BAY CITY MI
48708-7612
US

IV. Provider business mailing address

2535 22ND ST
BAY CITY MI
48708-7612
US

V. Phone/Fax

Practice location:
  • Phone: 989-891-9800
  • Fax:
Mailing address:
  • Phone: 989-891-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001393
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: