Healthcare Provider Details

I. General information

NPI: 1326861204
Provider Name (Legal Business Name): RACHEL CRONIN M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL DOSTAL

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 VILLAGE SQ
GRETNA NE
68028-7853
US

IV. Provider business mailing address

2120 S 49TH AVE
OMAHA NE
68106-3240
US

V. Phone/Fax

Practice location:
  • Phone: 402-932-0747
  • Fax: 402-991-5685
Mailing address:
  • Phone: 402-718-3072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3099
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: