MEDICARE: RACHEL COHEN MS 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	235Z00000X	Speech-Language Pathologist	SP01244	RI

General Provider Information

NPI Number	:	1326593179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL COHEN MS CCC-SLP

Provider Business Mailing Address
First Line	:	24 GREAT OAK DR
Second Line	:	UNIT 1
City	:	WARWICK
State	:	RI
Zip	:	02886-2845
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 GREAT OAK DR
Second Line	:	UNIT 1
City	:	WARWICK
State	:	RI
Zip	:	02886-2845
Country	:	US
Telephone Number	:	860-614-9606
Fax Number	:

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

Provider Enumeration Date	:	08/22/2016
Last Update Date	:	08/22/2016

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Directions to “ RACHEL COHEN MS CCC-SLP” Practice Location

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