Healthcare Provider Details

I. General information

NPI: 1801716220
Provider Name (Legal Business Name): RACHEL ANNE LISHINSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 SERENDIPITY DR
CORAOPOLIS PA
15108-1153
US

IV. Provider business mailing address

330 MADISON AVE S STE 106
BAINBRIDGE ISLAND WA
98110-2544
US

V. Phone/Fax

Practice location:
  • Phone: 724-840-4717
  • Fax:
Mailing address:
  • Phone: 206-451-4308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number70155496
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: