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NPI Code Detail

MEDICARE: MRS. RACHEL HOPE BONBREST SLP,CCC

MEDICARE:  MRS. RACHEL HOPE BONBREST  SLP,CCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist03792MD

General Provider Information

NPI Number : 1043428493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL HOPE BONBREST SLP,CCC
Provider Business Mailing Address
First Line : 7308 WESTWOOD DR
Second Line :
City : FREDERICK
State : MD
Zip : 21701-3356
Country : US
Telephone Number : 301-846-0137
Fax Number :
Provider Business Practice Location Address
First Line : 9101 WESLEYAN RD STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-3103
Country : US
Telephone Number : 800-603-6046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 05/07/2020

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Directions to “ MRS. RACHEL HOPE BONBREST SLP,CCC” Practice Location

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