Healthcare Provider Details

I. General information

NPI: 1659924769
Provider Name (Legal Business Name): RACHEL SCHLICHTING M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL HAUGEN

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 153RD ST W
ROSEMOUNT MN
55068-4946
US

IV. Provider business mailing address

1396 PARKWOOD DR
WOODBURY MN
55125-2025
US

V. Phone/Fax

Practice location:
  • Phone: 952-431-8300
  • Fax:
Mailing address:
  • Phone: 952-297-2075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10232
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: