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NPI Code Detail

MEDICARE: RACHEL ROMAN CCC-SLP

MEDICARE:   RACHEL  ROMAN  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
1235Z00000XSpeech-Language PathologistSLP11708AZ
2235Z00000XSpeech-Language Pathologist146013994IL

General Provider Information

NPI Number : 1467941021
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ROMAN CCC-SLP
Provider Business Mailing Address
First Line : 1525 S HIGLEY RD STE 104
Second Line :
City : GILBERT
State : AZ
Zip : 85296-5045
Country : US
Telephone Number : 602-688-4838
Fax Number :
Provider Business Practice Location Address
First Line : 1525 S HIGLEY RD STE 104
Second Line :
City : GILBERT
State : AZ
Zip : 85296-5045
Country : US
Telephone Number : 602-688-4838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2018
Last Update Date : 02/14/2024

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Directions to “ RACHEL ROMAN CCC-SLP” Practice Location

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