=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932088986
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL MARIE LYNCH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2025
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 994 VILLAGE SQUARE DR # 6K
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77375-5293
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-510-9240
-----------------------------------------------------
Fax | 346-299-5204
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9122 BLANEFIELD LN
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77375-2006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-829-0822
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 124374
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------