Healthcare Provider Details

I. General information

NPI: 1316564933
Provider Name (Legal Business Name): RACHEL MARIE SPENCER AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL MARIE EDWARDS

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3837 ATTUCKS DR
POWELL OH
43065-6082
US

IV. Provider business mailing address

3837 ATTUCKS DR
POWELL OH
43065-6082
US

V. Phone/Fax

Practice location:
  • Phone: 614-457-5848
  • Fax: 614-553-7314
Mailing address:
  • Phone: 614-457-5848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY2375
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02501
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: