Provider Demographics
NPI:1366617979
Name:ANDERSON, RACHEL LEE (AUD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MORRISON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-3401
Mailing Address - Country:US
Mailing Address - Phone:615-591-6410
Mailing Address - Fax:615-591-6425
Practice Address - Street 1:601 MORRISON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-3401
Practice Address - Country:US
Practice Address - Phone:615-591-6410
Practice Address - Fax:615-591-6425
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000001247237600000X
GAAUD003573231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter