MEDICARE: RACHAEL CATHERINE STANKEY

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	2355S0801X	Speech-Language Assistant	6153	CA

General Provider Information

NPI Number	:	1508471186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL CATHERINE STANKEY

Provider Business Mailing Address
First Line	:	7 SETON CT
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3714
Country	:	US
Telephone Number	:	909-747-4957
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 SETON CT
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3714
Country	:	US
Telephone Number	:	909-747-4957
Fax Number	:

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

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/10/2020

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Directions to “ RACHAEL CATHERINE STANKEY ” Practice Location

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