Healthcare Provider Details
I. General information
NPI: 1700453271
Provider Name (Legal Business Name): RACHAEL DAY OHLMAN M.ED. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2021
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4909 WATERS EDGE DR
RALEIGH NC
27606-0039
US
IV. Provider business mailing address
3225 BERRY CREEK RD
CHARLOTTE NC
28214-3373
US
V. Phone/Fax
- Phone: 919-285-1647
- Fax:
- Phone: 229-560-4060
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 15099 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: