Provider Demographics
NPI:1255757894
Name:ALSTOTT, RACHEL LEANN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEANN
Last Name:ALSTOTT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 N EAST BAY DR APT F
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-7785
Mailing Address - Country:US
Mailing Address - Phone:317-666-5845
Mailing Address - Fax:
Practice Address - Street 1:2035 N EAST BAY DR APT F
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-7785
Practice Address - Country:US
Practice Address - Phone:317-666-5845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22005405A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist