MEDICARE: RACHEL STEWART 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	235Z00000X	Speech-Language Pathologist	SLP006380	GA

General Provider Information

NPI Number	:	1275757478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL STEWART SLP

Provider Business Mailing Address
First Line	:	4055 ARREL DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-3851
Country	:	US
Telephone Number	:	706-221-0981
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 17TH ST STE 200
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-3507
Country	:	US
Telephone Number	:	706-324-6112
Fax Number	:	706-596-8259

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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Directions to “ RACHEL STEWART SLP” Practice Location

Language	Start Address	Practice Location

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