MEDICARE: MISS RACHEL G REED MA, CCC-SLP

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
1	222Q00000X	Developmental Therapist
2	235Z00000X	Speech-Language Pathologist	0000887	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235274671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS RACHEL G REED MA, CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 5553
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32540-5553
Country	:	US
Telephone Number	:	850-337-1378
Fax Number	:	888-852-6279

Provider Business Practice Location Address
First Line	:	1653 WOODLAWN BEACH RD
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-9538
Country	:	US
Telephone Number	:	850-712-3786
Fax Number	:	888-852-6279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	04/01/2020

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