Physician Compare National (NPI:1609146307)

HEALTHCARE PROVIDER: RACHELLE LYNETTE CRAWFORD-BROWN M.S. CCC-SLP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609146307
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173851409
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190826001825
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CRAWFORD-BROWN
	Individual professional last name
Provider First Name	RACHELLE
	Individual professional first name
Provider Middle Name	LYNETTE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED SPEECH LANGUAGE PATHOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16701 MELFORD BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 400
	Group Practice or individual's line 2 address
City	BOWIE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207154411
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y