MEDICARE: MRS. RACHEL ELANA SAKOFS 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	146.009751	IL

General Provider Information

NPI Number	:	1841512670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL ELANA SAKOFS CCC-SLP

Provider Business Mailing Address
First Line	:	2508 HUBER HEIGHTS DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7196
Country	:	US
Telephone Number	:	646-546-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2508 HUBER HEIGHTS DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7196
Country	:	US
Telephone Number	:	646-546-5005
Fax Number	:

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

Provider Enumeration Date	:	02/21/2010
Last Update Date	:	02/21/2010

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Directions to “ MRS. RACHEL ELANA SAKOFS CCC-SLP” Practice Location

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