Healthcare Provider Details

I. General information

NPI: 1295041424
Provider Name (Legal Business Name): RACHEL ERIN UNDERHILL CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL ERIN GLOVER CCC-SLP

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 SOUTH FORTY DRIVE
ST. LOUIS MO
63141
US

IV. Provider business mailing address

12300 SOUTH FORTY DRIVE
ST. LOUIS MO
63141
US

V. Phone/Fax

Practice location:
  • Phone: 314-692-7172
  • Fax: 314-692-8544
Mailing address:
  • Phone: 314-692-7172
  • Fax: 314-692-8544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2022049588
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3057
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA14502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: